title: A fatal case of bone marrow embolism of unknown cause masquerading clinically as dengue shock syndrome.
abstract: Bone marrow fat embolism usually occurs following multiple bone fractures, intraosseous surgical procedures, following vigorous cardiac resuscitation, ecclampsia, sickle cell anemia, malignancies, etc. We present a case of 70-year-old male who presented with fever, cough with expectoration, respiratory distress, altered sensorium, hypotension and thrombocytopenia, and diagnosed to have dengue shock syndrome and expired within 1 day of admission. Postmortem lung biopsy revealed bone marrow fat embolism.
authors: Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
authors: Subramanian Kalaivani
authors: SK
authors: Selvi
authors: Rakhee
authors: R
authors: Kar
authors: Mehalingam
authors: M
authors: Vadivelan
authors: Dharanipragada Krishna Suri
authors: DK
authors: Subrahmanyam
mesh_terms: D000368:Aged; D001853:Bone Marrow / Q000473:pathology; D003937:Diagnosis, Differential; D004620:Embolism, Fat / Q000175:diagnosis* / Q000473:pathology*; D017809:Fatal Outcome; D006801:Humans; D008168:Lung / Q000473:pathology*; D008297:Male; D019595:Severe Dengue / Q000473:pathology*