Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0023380 (lethargy)
 5,697 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

An unusual presentation of fat embolism is reported. Forty-eight hours after severe trauma to her legs the patient became stuporous and her right arm weak. A computerized tomography scan showed diffuse brain swelling. Although the petechiae, thrombocytopenia and lipuria characteristic of the fat embolism syndrome were present, at no time was there any evidence of pulmonary involvement.
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PMID:Cerebral fat embolism. 647 64

A 54-year-old man with Down's syndrome presented with petechiae, hypoxia and lethargy due to a collum fracture and a secondary fat embolism syndrome.
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PMID:[Diagnostic image (352). A man with spots, dyspnoea and lethargy]. 1822 90

A 2-year-old, spayed female Vietnamese potbellied pig (Sus scrofa) was evaluated due to polyuria, polydipsia, lethargy, and hyporexia. The pig was obese, and a large abdominal mass was palpated. Additional findings included hypercalcemia, hyperglycemia, glucosuria, and an inflammatory leukogram. At surgery, the abdominal mass was biopsied and found to be bilaterally symmetric adipose tissue with mineralization and granulomatous steatitis. An additional surgery was performed to collect additional diagnostic samples, but the pig died while recovering from anesthesia. A cosmetic necropsy was performed, and lipid emboli were identified microscopically in various tissues. The presence of lipid emboli in the lung and kidney was supported by antifibrinogen immunohistochemistry. Obesity is a common finding in potbellied pigs; however, mineralization and saponification of fat are uncommon, particularly the bilateral symmetrical distribution found in the abdomen of the present case. This may present as a single intra-abdominal mass complicating diagnostic interpretation. Whether mineralization and saponification of fat facilitate the development of fat embolism is undetermined. Lipid emboli should be considered in obese pigs undergoing medical or surgical procedures. Factors that may predispose to the development of fat embolism, such as excessive handling or bruising of fat stores, should be avoided.
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PMID:Lipid emboli in a Vietnamese potbellied pig (Sus scrofa). 2252 40

A 83 years old woman was slipped and injured with right femoral neck fracture. After three days from the fracture, she underwent an artificial head bone replacement operation. Immediately after surgery, she complained of chest discomfort, nausea and dyspnea. A few hours later, she became comatose. Brain CT showed no abnormality and clinical diagnosis of heart failure was made without pulmonary embolism on enhanced chest CT. Magnetic resonance imaging (MRI) of the brain next day showed multiple small patchy hyperintense lesion in bilateral hemispheres on diffusion-weighted images (DWI), producing a "star field pattern''. Based on Criteria of Gurd, this patient had one major criterion and four minor criteria. And according to the Criteria of Schonfeld, this patient had 5 points, consistent with clinical diagnosis of fat embolism. Because of these criteria, she was diagnosed as cerebral fat embolism syndrome. We started supported care and edaravon. Two weeks after surgery, her condition recovered and remaind to stuporous state even six month after surgery. We experienced a typical case of cerebral fat embolism, after bone surgery with diagnostic findings on MRI-DWI. Diagnosis of cerebral fat embolism syndrome requires a history of long bone fracture and/or replacing surgery with typical finding on MRI images, such as "star field pattern''.
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PMID:[A case of cerebral fat embolism after artificial bone replacement operation for femoral head fracture]. 2514 36