An Unusual and Fatal Case of Perthes’ Syndrome ()
ABSTRACT
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.
Share and Cite:
Balde, F. , Oualil, I. , Sidibe, I. , Mukenge, T. , Mahmoudi, A. , Berdai, M. , Khatalla, K. and Bouabdallah, Y. (2020) An Unusual and Fatal Case of Perthes’ Syndrome.
Open Journal of Pediatrics,
10, 515-520. doi:
10.4236/ojped.2020.103052.
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