Publications by authors named "W J Marvin"
infections can be life threatening and are being reported with increasing incidence. There are only a few case reports of infections and are mainly described in patients who are immunocompromised, injection drug users, or those with prosthetic devices. Due to improved testing and identification, it appears that these infections may not be as rare as once perceived.
View Article and Find Full Text PDFEGD for Refractory Toxidromes: Is It Time to Add to the Algorithm?
J Investig Med High Impact Case Rep
June 2022
Article Synopsis
- Pediatric toxic ingestions are on the rise, with some patients showing persistent symptoms even after treatment attempts.
- A 14-year-old boy experienced severe serotonin toxicity due to medication and required transfer to a specialized facility after traditional treatments failed.
- An esophagogastroduodenoscopy (EGD) to remove undigested pills led to significant improvement, suggesting EGD could be a valuable tool in managing extreme cases of toxicity.
Apnea with ketamine sedation in a patient with severe anorexia nervosa: A case report.
Eat Weight Disord
February 2022
Background: There is a paucity of literature around sedation and anesthesia in patients with severe anorexia nervosa. Chronically malnourished patients are known to have myopathy, neuropathy, and altered neurotransmitter signaling. Ketamine is a non-competitive N-methyl-D-aspartate (NMDA) receptor antagonist that is an established general anesthetic and short-acting dissociative analgesic agent.
View Article and Find Full Text PDFObjective: To examine the role of indomethacin in neonatal gut injury.
Study Design: Infants born at gestational age 23 weeks and with birth weights 400-1200 g were included in this prospective prevalence study of neonatal gut injury. Infants with isolated intestinal perforation (IIP) confirmed at laparotomy or at autopsy or with necrotizing enterocolitis (NEC) were identified.
Objective: This investigation tests the hypothesis that the clinical presentation and the outcome of necrotizing enterocolitis (NEC) vary with gestational age (GA).
Methods: All infants admitted to our center between October 1991 and September 2003 were evaluated weekly to identify confirmed cases of NEC. Based upon GA, these infants were divided into five groups: Extremely premature (EP, 23 to 26 weeks), very premature (VP, 27 to 29 weeks), moderately premature (MP, 30 to 34 weeks), near-term (NT, 35 to 36 weeks), and term (T, 37 to 42 weeks).