Case Report
Fulminant Cerebral Fat Embolism: Case Description and Review of the Literature
Table 1
Scoring systems used for the diagnosis of FES. CNS: central nervous system; ESR: erythrocyte sedimentation rate.
| Author | Features |
| A.R. Gurd et al. [8] (FES= 1 major + 4 minor + fat microglobulinemia) | Major criteria Respiratory insufficiency, CNS involvement, petechial rash | | Minor Criteria | Pyrexia, tachycardia, jaundice, oliguria/anuria, thrombocytopenia, elevated ESR, fat microglobulinemia |
| B.G. Shonfeld et al. [9] (FES ≥ 5 points) | Diffuse petechiae (5 points) | Alveolar infiltrates (4 points) | | Hypoxemia (paO2 < 70 mm Hg) | CNS involvement (1 point) | Fever ≥ 38°C | Heart rate > 120 beats/min Respiratory rate > 30 min |
| B.G. Lindeque et al. [10] (FES = femur fracture ± tibial fracture + 1 feature) | PaO2 < 60 mm Hg PaCO2 > 55 mmHg or pH < 7,3 Respiratory rate > 35/ min Dyspnea, anxiety, use of accessory respiratory muscles |
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