An Unusual and Fatal Case of Perthes’ Syndrome

F B Balde,K Khatalla,Y Bouabdallah,A Mahmoudi,M Berdai,I Oualil,T Mukenge,I Sidibe

doi:10.4236/ojped.2020.103052

Abstract

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.

Highlights

The Perthes syndrome is traumatic asphyxia secondary to a crushing to the thoracoabdominal region
It is characterized by a clinical trial of the face and neck cyanosis with oedema, sub-conjunctival haemorrhage and petechial haemorrhages on the face, neck and upper chest
It is traumatic asphyxia known as Perthes Syndrome [1] [2] [3]

Summary

Introduction

The Perthes syndrome is traumatic asphyxia secondary to a crushing to the thoracoabdominal region. It is characterized by a clinical trial of the face and neck cyanosis with oedema, sub-conjunctival haemorrhage and petechial haemorrhages on the face, neck and upper chest. It is traumatic asphyxia known as Perthes Syndrome [1] [2] [3]. Occurs during a work accident, chest compressions during mass movement but in children, road accidents are more common [4]. We report an unusual and fatal case of Perthes syndrome in a 3-year-old child

Clinical Description

Findings

Discussion

Conclusion