CRUSHING INJURY WITH INFECTED FEMORAL FRACTURE – CASE PRESENTATION

POLYTRAUMA REPRESENTS A MAJOR CAUSE OF MORBIDITY OF MORTALITY IN MODERN TRAUMATOLOGY. ALTHOUGH NO UNIFIED DEFINITION HAS BEEN DEVELOPED YET, THE MAIN PHYSIOPATHOLOGIC CHARACTERISTIC OF POLYTRAUMA HAS BEEN IDENTIFIED : THE SYSTEMIC INFLAMMATORY RESPONSE SYNDROME ( SIRS), WHICH MAY HAVE A FAVORABLE OUTCOME, OR IT CAN EVOLVE UP TO MULTIPLE SYSTEM AND ORGAN FAILURE ( MSOF) OR EVEN DEATH. THE INFLAMMATORY STATUS CAN BE DESCRIBED USING BIOCHEMICAL MARKERS AN D ITS DURATION AND INTENSITY DEPENDS ON THE OUTCOME OF EACH OF THE ASSOCIATED INJURIES. THIS PAPER PRESENTS A CASE OF A POLYTRAUMA PATIENT WITH A PERSISTENT INFLAMMATORY SYNDROME WHO DEVELOPED MAJOR LOCAL COMPLICATIONS, INCLUDING SEPTIC ONES, THUS DEMONSTRATING THE VALUE OF PROPER MONITORING AND MULTIDISCIPLINARY APPROACH OF POLYTRAUMA

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