PedsCCM Case Reports
(formerly the Rare Case Registry)
Katherine Biagas, editor

• Index of Cases
• Other case reports of interest on the web

Background

The PICU discussion list has taught us that we all see rare cases or unusual presentations of common conditions. We go to the standard medical literature and may or may not find a case report similar to ours. The textbooks are, shall we say, less than illuminating in these situations. We call for help on the PICU list and sometimes find others with similar experiences.

Wouldn't it be nice to have an easily accessible resource to look for these reports? Few people take the time and trouble of submitting a formal case report to the usual medical journals. None of us see enough of any one of these to write up a series. Chart reviews are laborious and boring!

We propose that Case Reports in Pediatric Critical Care on the PedsCCM Web site is an answer. We would like to collect brief reports of patients you care for that are either incredibly interesting or strange enough that you've never seen such a presentation before.

Update October 21, 1998: With the proliferation of case reports of both common and uncommon scenarios on the web that offer educational rewards, this section has now been more appropriately entitled "Case Reports in Pediatric Critical Care."

Index of Cases

• Two patients with stroke
• A 2 year old with vomiting and coma
• A toddler with altered mental status
• Tetanus: Complications and Management in a Pediatric Intensive Care Unit
• Hemolytic Uremic Syndrome - A Different Story
• "The Chubby Bunny Game" May Be Hazardous To Your Patients' Lives Hageman J. A case report of a significant health hazard to children.

• Fracchia MS, El Saleeby CM, Murali MR, Sagar P, Mino-Kenudson M. Case records of the Massachusetts General Hospital. Case 9-2013. A 9-year-old boy with fever, cough, respiratory distress, and chest pain. N Engl J Med. 2013 Mar 21;368(12):1141-50 [citation]

• Kinane TB, Shailam R, Mark EJ. Case 37-2011 — A 9-Month-Old Boy with Recurrent Tachypnea and Respiratory Distress. N Engl J Med 2011; 365:2221-2228 [full-text]

• Holick MF, Lim R, Dighe AS. Case 3-2009 -- A 9-Month-Old Boy with Seizures. N Engl J Med. 2009 Jan 22;360(4):398-407 [citation]

• Sheridan RL, Liu V, Anupindi S. Case 34-2005 ? A 10-Year-Old Girl with a Bullous Skin Eruption and Acute Respiratory Failure. New Engl J Med 2005; 353:2057-2066. [full-text for subscribers]

• Macintosh I, Butt WW, Robertson CF, Best D, Shekerdemian LS. Extending the limits of extracorporeal membrane oxygenation: lung rest for a child with non-specific interstitial pneumonia. Intensive Care Med. 2005 Jul;31(7):993-996 [abstract]

• Kinane TB, Westra SJ. Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 31-2004. A four-year-old boy with hypoxemia. N Engl J Med. 2004 Oct 14;351(16):1667-75. [citation]

• Modell JH, Idris AH, Pineda JA, Silverstein JH. Survival After Prolonged Submersion in Freshwater in Florida. Chest 2004;125 1948-1951 [abstract]

• Gerberding JL, Morgan JG, Shepard JA, Kradin RL. Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 9-2004. An 18-year-old man with respiratory symptoms and shock. N Engl J Med. 2004 Mar 18;350(12):1236-47 [citation]

• Warren HS Jr, Gonzalez RG, Tian D. Case 38-2003 - A 12-Year-Old Girl with Fever and Coma. N Engl J Med. 2003 Dec 11;349(24):2341-2349 [full-text for subscribers]

• Deymann AJ, Goertz KK. Myocardial Infarction and Transient Ventricular Dysfunction in an Adolescent With Sickle Cell Disease. Pediatrics 2003; 111: e183-e187 [abstract]

• Edmunds SM, Harrison R. Subarachnoid hemorrhage in a child with status asthmaticus: Significance of permissive hypercapnia. Pediatric Critical Care Medicine 2003; 4(1):100-103. [abstract]

• Sandra Bliss, M.D., Steven Weinberger, M.D., Mark Meier, M.D., and Sanjay Saint, M.D., M.P.H. Bliss SB, Weinberger S, Meier M, Saint S. The Unusual Suspect. New Engl J Med 2002; 347:1876-1881. [full-text for subscribers]

• O'Sullivan BP, Erickson LA, Niles JL. An Eight-Year-Old Girl with Fever, Hemoptysis, and Pulmonary Consolidations N Engl J Med 2002; 347:1009-1017 [full-text for subscribers]

• Bloom BJ, Smith RN. A 17-Year-Old Boy with Acute Mitral Regurgitation and Pulmonary Edema. N Engl J Med 2002;347:921-928. [full-text for subscribers]

• Pretzlaff RK. Death of an adolescent athlete with sickle cell trait caused by exertional heat stroke. Pediatr Crit Care Med 2002; 3:308-310. [abstract; full-text for subscribers]

• Waggie Z, Hatherill M, Millar A et al. Retropharyngeal abscess complicated by carotid artery rupture. Pediatr Crit Care Med 2002; 3:303-304. [abstract; full-text for subscribers]

• Batra AS, Acherman RJ, Wong P, Silka MJ. Acute myocardial infarction in a 12-year-old as a complication of hyperosmolar diabetic ketoacidosis. Pediatric Critical Care Medicine 2002 April;3(2):194-196 [abstract; full-text for subscribers]

• Brown MJ, Shannon MW, Woolf A, Boyer EW. Childhood Methanol Ingestion Treated With Fomepizole and Hemodialysis. Pediatrics 2001; 108:e77. [abstract][full-text]

• Whitelaw A, Bridges S, Leaf A, Evans D. Emergency treatment of neonatal hyperammonaemic coma with mild systemic hypothermia Lancet 2001; 358: 36-38 [abstract; full-text for subscribers]

• McGuire JK, Kulkarni MS, Baden HP. Fatal Hypermagnesemia in a Child Treated With Megavitamin/Megamineral Therapy. Pediatrics 2000; 105:e18. [full-text]

• Pardes Berger R, Wadowksy RM. Rhabdomyolysis Associated With Infection by Mycoplasma pneumoniae: A Case Report. Pediatrics 2000; 105: 433-436. [Abstract] [Full-text for subscribers/members]

• Bhalla P, Eaton FE, Coulter JBS, et al. Hyponatraemic seizures and excessive intake of hypotonic fluids in young children. Br Med J 1999;319:1554-1557. [full-text]

• Recurrent Acute Life-threatening Events and Lactic Acidosis Caused by Chronic Carbon Monoxide Poisoning in an Infant. Foster M. Goodwin SR, Williams C, Loeffler J. Pediatrics 1999; 104:e34. (full-text)

• Fatal Cerebral Herniation After Lumbar Puncture in a Patient With a Normal Computed Tomography Scan. Shetty AK, Desselle BC, Craver RD, Steele RW. Pediatrics 1999; 103: 1284-1286. [full-text for subscribers]

• Pediatric Myocardial Infarction After Racemic Epinephrine Administration. Butte MJ, Nguyen BX, Hutchison TJ et al. Pediatrics 1999; 104: e9. (full-text)

• Lactic acidemia and bradyarrhythmia in a child sedated with propofol. Cray SH, Robinson BH, Cox PN. Crit Care Med 1998;26:2087-92. {abstract]

• Weekly Clinicopathological Exercises: Case 36-1998: An 11-Year-Old Girl with Fever, Hypotension, and Azotemia. Rhodes J, King ME, Aretz HT. N Engl J Med 1998;339:1619-1626. [full-text for NEJM subscribers]

• Methaemoglobinaemia associated with sodium nitrite in three siblings. Finan A, Keenan P, O' Donovan F, Mayne P, Murphy J. Br Med J 1998;317:1138-1139.

• Spittle N, McCluskey A. Tracheal stenosis after intubation. Br Med J 2000;321:1000-1002. [full-text]

• Ethylene glycol poisoning in a child treated with 4-methylpyrazole. Harry P, Jobard E, Briand M, Caubet A, Turcant A. Pediatrics 1998;102: E31. [abstract] [full-text]

• Acute obstructive hydrocephalus complicating bacterial meningitis in childhood. Mactier H, Galea P, McWilliam R. Br Med J 1998;316:1887-1889.

• Perforated Gastric Ulcer In An Eleven Year Old. Viera AJ, Cubano M. Jacksonville Medicine September 1998

• Fulminant Meningococcemia. Hempel SL. 1997. Case report and discussion. From the Adult Critical Care Core Curriculum of The Virtual Hospital, University of Iowa.

• From Medscape has made their previous case reports unavailable....

• Interactive cases from MedConnect has also reorganized and lost many cases....

• Radiology Cases in Pediatric Emergency Medicine, from University of Hawaii, Department of Pediatrics, including:
  • 16 month old with a heart murmur, respiratory distress, and cyanosis
  • 7 year old with acute weakness
  • 16 year old gunshot wound - complication during tracheostomy
  • 5 year old with intracranial hypertension
  • 13 month old with pulmonary sequestration
  • 11 month old near drowning
  • 5 month old male with fever, irritability and vomiting
  • 18 month old female with fever, noisy breathing, harsh cough and drooling
  • 2 and 1/2 week old male with distressed noisy breathing and periods of cyanosis
  • 7 week old term female infant presenting with wheezing, coughing, and emesis
  • 2 month old male with a history of a VSD arriving in the ED for a possible seizure

• Correlapedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology, with case descriptions, from The University of Iowa's Virtual Hospital

• Toxicology cases from Toxikon Multimedia Project (server status in question...)
  • 3 year old with hematemesis
  • 18 year old found unresponsive
  • 3 year old with mushroom poisoning