Journal of Nepal Medical Association (Aug 2019)

Human Albumin and N-Acetylcysteine for Treatment of Fat Embolism: A Case Report

  • Niraj Kumar Keyal,
  • Manish Nakarmi,
  • Amid Bhujel,
  • Sanjeev Kumar Yadav

DOI
https://doi.org/10.31729/jnma.4478
Journal volume & issue
Vol. 57, no. 218

Abstract

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Fat embolism is a life-threatening condition that mostly occurs after long bones and pelvis fractures and treatment is controversial with many available drugs. We hereby present a case of 53 years male who developed shortness of breath, tachycardia, fever, anemia, distended jugular vein, thrombocytopenia, hypoalbuminemia and was diagnosed to have fat embolism after fracture of femur, tibia, fibula and pubic rami following road traffic accident. Patient was treated with 20 percent human albumin, N-acetylcysteine, other supportive treatment and discharged after fourteen days. From this we want to emphasize role of human albumin and N-acetylcysteine in treatment of fat.

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