Embolization of pulmonary and systemic mycotic pseudoaneurysms in a pediatric patient.

Mycotic pseudoaneurysm is a rare complication of systemic infection in children. We report a case of a previously healthy 11-year-old female with methicillin-resistant staph aureus (MRSA) bacteremia who developed both pulmonary and systemic arterial pseudoaneurysms. These were detected on magnetic resonance (MR) and computed tomography (CT) imaging and treated with coil embolization.

Circumstances of injury in children with abusive versus non-abusive injuries.

Background: Although previous studies have examined differences in the characteristics of abusive versus non-abusive injuries, no study has focused on the differences in the circumstances surrounding these injuries, such as whether the event that caused the injury was witnessed or heard, or EMS was called.

Objective: To determine predictors related to the circumstances of the injury (COI) for distinguishing abusive versus non-abusive injuries.

Participants/setting: Children younger than 3-years-old who were hospitalized with either a head injury or a fracture and evaluated by the child abuse consultation service between June 1, 2008 and June 30, 2017.

Migration of n-BCA glue as a complication of venous malformation treatment in children.

Preoperative n-butyl cyanoacrylate (n-BCA) embolization of venous malformations facilitates surgical resection. Although embolization is generally well-tolerated, central venous n-BCA migration can occur. The purpose of this article is to describe 3 cases of glue migration requiring glue embolectomy.

Outcomes following adoption of a standardized protocol for abscess drain management in pediatric appendicitis.

Background/purpose: Though evidence-based clinical pathways for the diagnosis and treatment of pediatric appendicitis have been established, protocols guiding management of percutaneous abscess drains are lacking. We hypothesized a drain management protocol utilizing drain output and clinical factors instead of fluoroscopic drain studies would reduce interventional radiologic procedures without adversely impacting clinical outcomes.

Methods: A standardized protocol was uniformly adopted at a tertiary-care children's hospital in April 2016.

Bayesian analysis of the epidemiology of bleeding in critically ill children.

Purpose: We updated our findings on the epidemiology of clinically relevant bleeding (CRB) in critically ill children. We also determined the concordance of CRB as defined by the International Society of Thrombosis and Haemostasis, i.e.

Microbiome predictors of dysbiosis and VRE decolonization in patients with recurrent infections in a multi-center retrospective study.

The gastrointestinal microbiome is intrinsically linked to the spread of antibiotic resistance. Antibiotic treatment puts patients at risk for colonization by opportunistic pathogens like vancomycin resistant Enterococcus and by destroying the colonization resistance provided by the commensal microbiota. Once colonized, the host is at a much higher risk for infection by that pathogen.

Our Ethical Obligation to Treat Opioid Use Disorder in Prisons: A Patient and Physician's Perspective.

The opioid epidemic has claimed the lives of more than 183,000 individuals since 1999 and is now the leading cause of accidental death in the United States. Meanwhile, rates of incarceration have quadrupled in recent decades, and drug use is the leading cause of incarceration. Medication-assisted treatment or MAT (i.

The Current Landscape and Lessons from Fecal Microbiota Transplantation for Inflammatory Bowel Disease: Past, Present, and Future.

Fecal microbiota transplantation (FMT) has changed the standard of care for Clostridium difficile infection. However, there is limited data focusing on efficacy and safety profile of FMT in patients with C. difficile infection with underlying inflammatory bowel disease (IBD), including the risk of IBD flare.