{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:40:42Z","timestamp":1753882842588,"version":"3.41.2"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p> Fat embolism syndrome is a rare clinical entity. The diagnosis is largely clinical, with the imaging studies supporting the clinical diagnosis. Here we present the case of a 19-year-old boy who presented with a tibial fracture and developed sudden onset shortness of breath on the following day. His clinical and investigation findings were suggestive of acute respiratory distress syndrome with fever, tachycardia, and tachypnea along with acute hemoglobin and platelet drop with positive fat globules. According to two clinical criteria, his diagnosis of fat embolism was established. The diagnostic dilemma arose when S1Q3T3 was seen in the electrocardiogram raising a doubt whether it could be a pulmonary embolism. <\/jats:p>","DOI":"10.1177\/2050313x241285664","type":"journal-article","created":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T11:25:08Z","timestamp":1727522708000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Fat embolism mimicking pulmonary embolism: A case report"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-3506-8580","authenticated-orcid":false,"given":"Chathuri","family":"Munagama","sequence":"first","affiliation":[{"name":"University Medical Unit, Colombo South Teaching Hospital, Kalubowila, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3685-7825","authenticated-orcid":false,"given":"Rasanee","family":"Wanigasuriya","sequence":"additional","affiliation":[{"name":"Colombo South Teaching Hospital, Kalubowila, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arul","family":"Kumaran","sequence":"additional","affiliation":[{"name":"Colombo South Teaching Hospital, Kalubowila, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thushara","family":"Matthias","sequence":"additional","affiliation":[{"name":"University Medical Unit, Colombo South Teaching Hospital, Kalubowila, Sri Lanka"},{"name":"Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,9,28]]},"reference":[{"key":"bibr1-2050313X241285664","doi-asserted-by":"publisher","DOI":"10.1590\/0100-6991e-20243690-en"},{"key":"bibr2-2050313X241285664","unstructured":"Cleveland Clinic. Fat embolism syndrome: causes, symptoms & treatment, https:\/\/my.clevelandclinic.org\/health\/diseases\/23995-fat-embolism-syndrome (2022, accessed 19 September 2024)."},{"key":"bibr3-2050313X241285664","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-17-00571"},{"key":"bibr4-2050313X241285664","doi-asserted-by":"publisher","DOI":"10.1136\/emj.17.2.144"},{"key":"bibr5-2050313X241285664","doi-asserted-by":"publisher","DOI":"10.1016\/S1726-4901(10)70088-5"},{"key":"bibr6-2050313X241285664","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2001.01724.x"},{"key":"bibr7-2050313X241285664","doi-asserted-by":"publisher","DOI":"10.20408\/jti.2017.30.3.107"},{"key":"bibr8-2050313X241285664","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199309233291305"},{"key":"bibr9-2050313X241285664","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.010835"},{"key":"bibr10-2050313X241285664","doi-asserted-by":"publisher","DOI":"10.2147\/IJGM.S177407"},{"key":"bibr11-2050313X241285664","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-113-8-583"},{"key":"bibr12-2050313X241285664","doi-asserted-by":"publisher","DOI":"10.4103\/2321-3868.142396"},{"key":"bibr13-2050313X241285664","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2016.09.29"},{"issue":"2","key":"bibr14-2050313X241285664","first-page":"123","volume":"110","author":"Ashok R","year":"2012","journal-title":"J Indian Med Assoc"},{"key":"bibr15-2050313X241285664","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2014.17.83.2062"},{"key":"bibr16-2050313X241285664","doi-asserted-by":"publisher","DOI":"10.1097\/01.EEM.0001006992.40440.1b"},{"key":"bibr17-2050313X241285664","volume":"2014","author":"Ali OM","year":"2014","journal-title":"Case Rep"}],"container-title":["SAGE Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X241285664","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X241285664","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X241285664","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T10:38:36Z","timestamp":1740911916000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X241285664"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":17,"alternative-id":["10.1177\/2050313X241285664"],"URL":"https:\/\/doi.org\/10.1177\/2050313x241285664","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"type":"print","value":"2050-313X"},{"type":"electronic","value":"2050-313X"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"2050313X241285664"}}