BMJ Case Reports 2012; doi:10.1136/bcr.12.2011.5466
  • Unusual presentation of more common disease/injury

Fat embolism syndrome in a child with dystonia musculorum deformans

  1. Michael To1
  1. 1Department of Orthopaedics and Traumatology, Queen Mary Hospital, Hong Kong
  2. 2Department of Anaesthesiology, Queen Mary Hospital, Hong Kong
  1. Correspondence to Dr Michael To, mikektto{at}


A 16-year-old boy with dystonia musculorum deformans underwent an operation for removal of femoral implants and excision of the prominence at the greater trochanter of the left hip. He was found to have fat embolism syndrome at postoperative day 1 as evidenced by confusion, respiratory symptoms, chest radiograph changes, raised erythrocyte sedimentation rate, thrombocytopenia and fat in the urine and sputum.


  • Competing interests None.

  • Patient consent Obtained.

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