An Unusual and Fatal Case of Perthes’ Syndrome

作     者：F. B. Balde I. Oualil I. Sidibe T. Mukenge A. Mahmoudi M. Berdai K. Khatalla Y. Bouabdallah F. B. Balde;I. Oualil;I. Sidibe;T. Mukenge;A. Mahmoudi;M. Berdai;K. Khatalla;Y. Bouabdallah

作者机构：Department of Pediatric Surgery Hassan II Hospital and University Centre Fez Morocco Mother and Child Resuscitation Service Hassan II Hospital and University Centre Fez Morocco 

出 版 物：《Open Journal of Pediatrics》 (儿科学期刊（英文）)

年 卷 期：2020年第10卷第3期

页      面：515-520页

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：Perthes Syndrome Traumatic Asphyxia Complications Lethal 

摘      要：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.