First name
Danielle
Middle name
L
Last name
Cullen

Title

Deep venous thrombosis in a child with inferior vena cava and renal anomalies: KILT syndrome.

Year of Publication

2018

Number of Pages

1521-1525

Date Published

2018 09

ISSN Number

1432-1998

Abstract

<p>Kidney and inferior vena cava abnormalities with leg thrombosis is a newly described entity in the literature termed KILT (kidney and inferior vena cava (IVC) abnormalities with leg thrombosis) syndrome. We present a case of newly diagnosed KILT syndrome in an 11-year-old girl presenting with pain and problems with ambulation. We also review the few cases of KILT syndrome previously reported in the literature.</p>

DOI

10.1007/s00247-018-4155-3

Alternate Title

Pediatr Radiol

PMID

29754159

Title

Invasive Bacterial Infections in Afebrile Infants Diagnosed With Acute Otitis Media.

Year of Publication

2021

Date Published

2021 01

ISSN Number

1098-4275

Abstract

<p><strong>OBJECTIVES: </strong>To determine the prevalence of invasive bacterial infections (IBIs) and adverse events in afebrile infants with acute otitis media (AOM).</p>

<p><strong>METHODS: </strong>We conducted a 33-site cross-sectional study of afebrile infants ≤90 days of age with AOM seen in emergency departments from 2007 to 2017. Eligible infants were identified using emergency department diagnosis codes and confirmed by chart review. IBIs (bacteremia and meningitis) were determined by the growth of pathogenic bacteria in blood or cerebrospinal fluid (CSF) culture. Adverse events were defined as substantial complications resulting from or potentially associated with AOM. We used generalized linear mixed-effects models to identify factors associated with IBI diagnostic testing, controlling for site-level clustering effect.</p>

<p><strong>RESULTS: </strong>Of 5270 infants screened, 1637 met study criteria. None of the 278 (0%; 95% confidence interval [CI]: 0%-1.4%) infants with blood cultures had bacteremia; 0 of 102 (0%; 95% CI: 0%-3.6%) with CSF cultures had bacterial meningitis; 2 of 645 (0.3%; 95% CI: 0.1%-1.1%) infants with 30-day follow-up had adverse events, including lymphadenitis (1) and culture-negative sepsis (1). Diagnostic testing for IBI varied across sites and by age; overall, 278 (17.0%) had blood cultures, and 102 (6.2%) had CSF cultures obtained. Compared with infants 0 to 28 days old, older infants were less likely to have blood cultures ( &lt; .001) or CSF cultures ( &lt; .001) obtained.</p>

<p><strong>CONCLUSION: </strong>Afebrile infants with clinician-diagnosed AOM have a low prevalence of IBIs and adverse events; therefore, outpatient management without diagnostic testing may be reasonable.</p>

DOI

10.1542/peds.2020-1571

Alternate Title

Pediatrics

PMID

33288730

Title

Family Connects: A Novel Social Needs Program within a Pediatric Emergency Department.

Year of Publication

2022

Date Published

2022 Mar 06

ISSN Number

1876-2867

DOI

10.1016/j.acap.2022.03.002

Alternate Title

Acad Pediatr

PMID

35263657

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