Trimethoprim-induced immune hemolytic anemia in a pediatric oncology patient presenting as an acute hemolytic transfusion reaction

2010 ◽  
Vol 55 (6) ◽  
pp. 1201-1203 ◽  
Author(s):  
Sweta Gupta ◽  
Cindy L. Piefer ◽  
Judy T. Fueger ◽  
Susan T. Johnson ◽  
Rowena C. Punzalan
Keyword(s):  
Hemolytic Anemia ◽  
Pediatric Oncology ◽  
Transfusion Reaction ◽  
Oncology Patient ◽  
Pediatric Oncology Patient ◽  
Immune Hemolytic Anemia ◽  
Hemolytic Transfusion Reaction

scholarly journals Bezoar in a Pediatric Oncology Patient Treated with Coca-Cola

2015 ◽  
Vol 9 (2) ◽  
pp. 227-232 ◽  
Author(s):  
Sara Naramore ◽  
Amy Virojanapa ◽  
Moshe Bell ◽  
Punit N. Jhaveri
Keyword(s):  
Abdominal Pain ◽  
Pediatric Patient ◽  
Pediatric Oncology ◽  
Gastrointestinal Symptoms ◽  
Nausea And Vomiting ◽  
Diagnosis And Treatment ◽  
Intestinal Bleeding ◽  
Oncology Patient ◽  
Pediatric Oncology Patient ◽  
Gradual Onset

A bezoar is a mass of indigestible material. Bezoars can present with a gradual onset of non-specific gastrointestinal symptoms including abdominal pain, nausea and vomiting. However, bezoars can result in more serious conditions such as intestinal bleeding or obstruction. Without quick recognition, particularly in susceptible individuals, the diagnosis and treatment can be delayed. Currently resolution is achieved with enzymatic dissolution, endoscopic fragmentation or surgery. We describe, to our knowledge, the first pediatric patient with lymphoma to have had a bezoar treated with Coca-Cola.

scholarly journals Herbaspirillum Species Bacteremia in a Pediatric Oncology Patient

2010 ◽  
Vol 48 (11) ◽  
pp. 4320-4321 ◽  
Author(s):  
E. D. Ziga ◽  
T. Druley ◽  
C.-A. D. Burnham
Keyword(s):  
Pediatric Oncology ◽  
Oncology Patient ◽  
Pediatric Oncology Patient

scholarly journals Clinician Emotions Surrounding Pediatric Oncology Patient Deterioration

2021 ◽  
Vol 11 ◽  
Author(s):  
Dylan E. Graetz ◽  
Emily Giannars ◽  
Erica C. Kaye ◽  
Marcela Garza ◽  
Gia Ferrara ◽  
...  
Keyword(s):  
Pediatric Oncology ◽  
Early Warning Systems ◽  
Clinical Deterioration ◽  
High Rate ◽  
Structured Interviews ◽  
Oncology Patient ◽  
Research Hospital ◽  
Pediatric Oncology Patient ◽  
Patient Deterioration ◽  
The Impact

BackgroundPediatric oncology patients have a high rate of clinical deterioration frequently requiring critical care. Patient deterioration events are distressing for clinicians, but little is known about how Pediatric Early Warning Systems (PEWS) impact clinicians’ emotional responses to deterioration events.MethodsSemi-structured interviews were conducted with 83 nurses, pediatricians, oncologists, and intensive care clinicians who had recently participated in a patient deterioration event at two pediatric oncology hospitals of different resource-levels: St. Jude Children’s Research Hospital (N = 42 participants) in Memphis, Tennessee or Unidad Nacional de Oncología Pediátrica (N = 41 participants) in Guatemala City, Guatemala. Interviews were conducted in the participants’ native language (English or Spanish), transcribed, and translated into English. Each transcript was coded by two researchers and analyzed for thematic content.ResultsEmotions around patient deterioration including concern, fear, and frustration were reported across all disciplines at both hospitals. Concern was often triggered by an elevated PEWS score and usually resulted in increased attention, which reassured bedside clinicians that patients were receiving necessary interventions. However, persistently elevated PEWS scores, particularly at St. Jude Children’s Research Hospital, occasionally resulted in a false sense of relief, diminishing clinician attention and negatively impacting patient care. Nurses at both institutions described how PEWS amplified their voices, engendering confidence and empowerment, two of the only positive emotions described in the study.ConclusionClinicians experienced a range of emotions while caring for high-risk patients in the setting of clinical deterioration. These emotions have the potential to contribute to compassion fatigue and burnout, or to resilience. Acknowledgment and further investigation of the complex interplay between PEWS and clinician emotions are necessary to maximize the impact of PEWS on patient safety while simultaneously supporting staff wellbeing.

scholarly journals #30: Coronavirus Disease 2019 (COVID-19) Incidence in Pediatric Oncology Patient: Does Routine Screening Affect the Risk for the Transmission in the Hospital

2021 ◽  
Vol 10 (Supplement_2) ◽  
pp. S18-S18
Author(s):  
Riyadi Adrizain ◽  
Nurmelani Sari
Keyword(s):  
Pediatric Oncology ◽  
Routine Screening ◽  
Oncology Patients ◽  
Oncology Patient ◽  
Pediatric Oncology Patient ◽  
Number Of Patients ◽  
Oncologic Patients ◽  
Boarding House ◽  
Second Period ◽  
Positive Results

Abstract Background Cancer patients are at higher risk of COVID-19 infection and more likely they have higher morbidity and mortality than the general population. On the other hand, the oncology patient sometimes can show asymptomatic COVID-19 disease with a risk of longer viral shedding and spreading the infection to others immunosuppressed individuals. Oncology patients also regularly travel between hospital and sometimes lodge in boarding house for routine chemotherapy. As we known, prevention strategy for COVID-19 among pediatric oncology patients can be implemented by minimizing these risks factors for transmission by identifying all patients infected with COVID-19. Here, we report our experience before and after implementing COVID-19 testing policy of patients with hematology and oncology diseases in our center. Method We collected data of pediatric oncology patients admitted to Hasan Sadikin General hospital between July 1st, 2020 to January 8th, 2021. The data consisted of the total number of patients and COVID-19 status by using SARS-CoV-2 Nucleic Acid Amplification Test (NAAT) performed in the patient during two periods. In the first period, we performed NAAT if the patient was suspected of COVID-19. In the second period, after the policy was changed, NAAT was performed routinely as screening for all oncologic patients admitted to the hospital. Results Between July 1st to December 2nd, 2020, the first period, there was 3 positive results from 36 suspected COVID-19 patients among 181 total pediatric oncology patients. In the second period, we found 8 positive results from 121 hospitalized patients, none of them had signs and symptoms of COVID-19; and 4 of them came from boarding house. Conclusion Routine screening for COVID-19 should be considered as a policy for hospitalization of a pediatric oncology patient because of the high risk that asymptomatic COVID-19 patients can transmit the infection to other patient and to health care workers in the hospital.

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