TITLE:
An Unusual and Fatal Case of Perthes’ Syndrome
AUTHORS:
F. B. Balde, I. Oualil, I. Sidibe, T. Mukenge, A. Mahmoudi, M. Berdai, K. Khatalla, Y. Bouabdallah
KEYWORDS:
Perthes Syndrome, Traumatic Asphyxia, Complications, Lethal
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.10 No.3,
September
11,
2020
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.