Abstract
The novel coronavirus, named SARS-CoV-2 has caused a global pandemic state which affects the respiratory system of patients. Given the current situation, any acute respiratory distress has to be evaluated thoroughly to arrive at a definitive diagnosis for targeted management, which is challenging. We report a patient who presented with respiratory distress with fat embolism syndrome that was suspected as COVID-19 pneumonia.
Highlights
The novel coronavirus, named SARS-CoV-2 is a viral pneumonia which may lead to respiratory distress syndrome
Fat embolism syndrome (FES) is a clinical condition that may manifest as severe respiratory distress following traumatic bone injuries
In the intensive care unit (ICU), he was continued on High Flow Nasal Oxygen (HFNO) for respiratory support and saturation was maintained more than 94%
Summary
The novel coronavirus, named SARS-CoV-2 is a viral pneumonia which may lead to respiratory distress syndrome. Considering the supportive clinical evidence, a tentative diagnosis of fat embolism syndrome was made He was admitted to intensive care unit (ICU) and started on respiratory supports with high flow nasal oxygenation (HFNO) which required titration of FiO2 to 90% and flow rate of 60L/min to maintain oxygen saturation of more than 94%. He was transferred to an ICU in a multi-disciplinary COVID-19 management center. On day 5 he was discharged from ICU to a ward, and discharged from the hospital with a plaster cast and a plan to review in 2 weeks as an outpatient Tentative diagnoses for this patient were fat embolism syndrome, COVID-19 pneumonia or presence of both pathologies. He neither could be weaned off nor needed increased oxygen support to maintain the target saturations
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