Arriola-Montenegro et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
We describe a complicated case of dextro-transposition of the great arteries (d-TGA) that was treated unusually late at age four by Glenn Shunt operation with pulmonary artery banding. She presented fteen years later with superior vena cava syndrome as a consequence of Glenn shunt failure and was managed conservatively. Glenn Shunt with pulmonary artery banding can be done for Dextro-TGA patients in which arterial switch operation is contraindicated; however, pulmonary artery banding failure can cause a functional obstruction leading to fatal SVC syndrome.
Key points1. Glenn Shunt with pulmonary artery banding could be done for Dextro-TGA patients in which arterial switch operation is contraindicated 2. Glenn Shunt with pulmonary artery banding failure can cause a functional obstruction leading to fatal SVC syndrome
Pediatric sepsis is a worldwide public health issue because of its high mortality rate, which increases even more in low-income countries. In this article, we review the Latin American background, the burdens of pediatric sepsis in Latin America, and the Caribbean, as well as some strategies that could help improve the outcomes of sepsis in these regions from a public health view.
Hypercalcemia has a variety of causes, with primary hyperparathyroidism and malignancies being the most frequently reported. We present the case of a patient presenting with chronic abdominal pain, constipation, and weight loss who was found to have hypercalcemia. The patient was initially diagnosed with colonic actinomycosis, but further investigations revealed an intra-abdominal diffuse large B-cell lymphoma (DLBCL). We suspect that the leading cause of hypercalcemia was the DLBCL, likely exacerbated by actinomycosis. Actinomycosis and DLBCL can have a similar presentation, so misdiagnosis or coexistence of both conditions should be suspected when a lack of response to one specific therapy is observed.
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