scholarly journals A case of infective endocarditis due to Herbaspirillum Huttiense in a pediatric oncology patient

2020 ◽  
Vol 14 (11) ◽  
pp. 1349-1351
Author(s):  
Ahmet Alptuğ Güngör ◽  
Tugba B Demirdağ ◽  
Bedia Dinç ◽  
Emine Azak ◽  
Arzu Yazal Erdem ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Pediatric Oncology ◽  
Heart Valves ◽  
Thrombus Formation ◽  
Venous Catheter ◽  
Connective Tissue Disorders ◽  
Oncology Patient ◽  
Pediatric Oncology Patient ◽  
First Case ◽  
Pediatric Populations

Infective endocarditis (IE) is an infection of the endocardium and/or heart valves that involves thrombus formation (vegetation). This condition might damage the endocardial tissue and/or valves. An indwelling central venous catheter is a major risk factor for bacteremia at-risked pediatric populations such as premature infants; children with cancer and/or connective tissue disorders. Herbaspirillum huttiense is a Gram-negative opportunistic bacillus that may cause bacteremia and pneumonia rarely in this fragile population. Herein we report the very first case of bacteremia and IE in a pediatric oncology patient caused by H. huttiense.

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.

Sign in / Sign up

Export Citation Format

Share Document