An Unusual and Fatal Case of Perthes’ Syndrome

• 作者: A. Mahmoudi F. B. Balde I. Oualil I. Sidibe K. Khatalla M. Berdai T. Mukenge Y. Bouabdallah
• 来源期刊: 儿科学期刊(英文)
• 学科: 医学
• 关键词: Perthes Syndrome Traumatic Asphyxia COMPLICATIONS LETHAL
• 年，卷（期）: 2020,（3）
• 页码范围: 515-520
• 页数: 6页
• 分类号: R72

摘要

Perthes syndrome includes cervical and facial cyanosis, subconjunctival haemorrhage, petechial haemorrhages on the face, neck, and upper chest, secondary to chest compression. We report a clinical case of Perthes’ syndrome in 3-year-old boy victims of chest crush by a tractor. Clinical examination found: a Glasgow score at 13/15, polypnea, tachycardia, hypotension;wound of the occipital scalp, a low abundance of hematuria, deformation of the left lower limb. Body scan: bilateral pneumothorax and pulmonary contusions, left hemothorax;lacerations at the medial and upper renal pole grade IV, a low abundance of retroperitoneal hematoma, fracture of the left femur. Biological assessment showed major metabolic disturbances with severe acute rhabdomyolysis and multi-visceral failure. Without clinical improvement, the patient died after 36 hours of intensive care.