[Febrile coma and multiple organ failure: suspected hemoglobinopathy SC].
We report the case of febrile fatal coma in a 51-year-old man from Burkina Faso. Magnetic resonance imaging (MRI) shows cerebral fat embolism. Haemoglobin electrophoresis shows probably haemoglobinopathy SC. A short review of the literature demonstrate the need to consider this complication in patients with neurological or respiratory disorders, in areas where this disease is highly prevalent, irrespective of age. It also emphasizes the diagnostic contribution of MRI and discusses the mechanism, the diagnosis as well as the difficulty of choosing the appropriate therapeutic course.
Ouedraogo
N
N
Service de réanimation, centre hospitalier national universitaire Yalgado Ouedraogo, 03 BP 7022 Ouagadougou 03, Burkina Faso.
Vincenti-Rouquette
I
I
Niakara
A
A
Nizou
J Y
JY
Brinquin
L
L
D000755:Anemia, Sickle Cell / Q000150:complications / Q000175:diagnosis*; D001921:Brain / Q000473:pathology; D002050:Burkina Faso / Q000208:ethnology; D003128:Coma; D003937:Diagnosis, Differential; D004620:Embolism, Fat / Q000175:diagnosis*; D005334:Fever; D005602:France; D006801:Humans; D020766:Intracranial Embolism / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000175:diagnosis / Q000209:etiology*