Abstract

Background. Perthe's syndrome (traumatic asphyxia) is rare, which is caused by sudden compressive chest trauma and characterized by subconjunctival hemorrhage, facial edema, craniocervical cyanosis, and petechiae on the upper chest and face and should always be kept in mind as a possible complication of injuries of the chest and abdomen. Case Report. In this case report a 36-years-old male patient brought to the emergency room due to thorax trauma related to motorcycle accident was discussed. Distinct cyanotic, edematous, and multiple petechiae were present on the face, neck, and upper thorax regions of the patient. Bilateral subconjunctival hemorrhage was determined. Conclusion. Treatment for traumatic asphyxia is supportive and patient recovery is related to the generally associated injuries. Prognosis of the patients is quite good with effective and timely treatment.

Highlights

  • Perthes syndrome is characterized by cyanosis, subconjunctival hemorrhage, and petechiae triad on the head-neck area [1]

  • Traumatic asphyxia cases were first reported by Olivier with craniofasial cyanosis, subconjunctival hemorrhage and cerebrovascular congestion findings in autopsied peoples and subsequently similar cases were reported in the literature in France and Germany, and no definition was made

  • In 1900, Perthes observed cases diagnosed with mental confusion, hyperpyrexia, hemoptysis, tachypnea, and contusion pneumonia and cases diagnosed subsequently with progressing petechial bleedings in mucosal membranes, epistaxis, hematemesis, rectal bleeding, esophageal, hematoma, albuminuria, microscopic hematuria, paraplegia, peripheral nerve damage, amnesia, and convulsion were monitored, and for the first time it was described with presently known term “Traumatic Asphyxia” [5]

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Summary

Background

Perthe’s syndrome (traumatic asphyxia) is rare, which is caused by sudden compressive chest trauma and characterized by subconjunctival hemorrhage, facial edema, craniocervical cyanosis, and petechiae on the upper chest and face and should always be kept in mind as a possible complication of injuries of the chest and abdomen. In this case report a 36-years-old male patient brought to the emergency room due to thorax trauma related to motorcycle accident was discussed. Edematous, and multiple petechiae were present on the face, neck, and upper thorax regions of the patient. Treatment for traumatic asphyxia is supportive and patient recovery is related to the generally associated injuries. Prognosis of the patients is quite good with effective and timely treatment

Introduction
Case Report
Findings
Discussion
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