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CASE REPORT
Year : 2012  |  Volume : 55  |  Issue : 4  |  Page : 572-573

A fatal case of bone marrow embolism of unknown cause masquerading clinically as dengue shock syndrome


1 Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
2 Department of Internal Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India

Correspondence Address:
Rakhee Kar
Department of Pathology, JIPMER, Puducherry
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0377-4929.107827

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Bone marrow fat embolism usually occurs following multiple bone fractures, intraosseous surgical procedures, following vigorous cardiac resuscitation, ecclampsia, sickle cell anemia, malignancies, etc. We present a case of 70-year-old male who presented with fever, cough with expectoration, respiratory distress, altered sensorium, hypotension and thrombocytopenia, and diagnosed to have dengue shock syndrome and expired within 1 day of admission. Postmortem lung biopsy revealed bone marrow fat embolism.


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