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Viral bronchiolitis is the most common lower respiratory tract infection in infants and children under the age of 2. Respiratory syncytial virus (RSV) is the infecting agent in more than 50% of the cases. Usually the clinical course is uneventful and complications are uncommon. Secondary air leaks are a recognized rare complication of bronchiolitis, although the real incidence remains unknown. We report a case of a 21-month-old female that developed a spontaneous pneumothorax (PNO) with subcutaneous emphysema (SE) late in the course of RSV acute bronchiolitis. Additional investigation ruled out any underlying disease predisposing to spontaneous PNO. Physicians, especially those who work with small children, must be aware of this uncommon complication of bronchiolitis that may appear late in the course of the disease despite an initial clinical improvement.
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http://dx.doi.org/10.14740/jocmr2353w | DOI Listing |
J Emerg Med
July 2025
Department of Emergency Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York.
Background: Thoracic point-of-care ultrasound (POCUS) is an improved modality for detecting pneumothorax (PTX) with high accuracy compared with supine chest x-ray (CXR) study. However, recent research has questioned the sensitivity of POCUS for diagnosis of PTX in trauma patients.
Objective: The authors determined the accuracy of emergency physician (EP) POCUS in identifying clinically significant PTX in high-severity trauma patients based on the red criteria of the 2021 National Expert Panel on Field Triage.
J Vasc Interv Radiol
September 2025
Department of Interventional Medicine, National Center for Children's Health (Beijing), Beijing Children's Hospital, Capital Medical University, No. 56, Nanlishi Road, Beijing 100045, China. Electronic address:
Purpose: To evaluate the diagnostic accuracy, safety, and clinical impact of ultrasound-guided percutaneous lung biopsy (US-PLB) in pediatric peripheral lung lesions.
Materials And Methods: A retrospective cohort analysis included 34 pediatric patients (24 male, 10 female; mean age 7.9 ± 4.
Ulus Travma Acil Cerrahi Derg
September 2025
Department of Thoracic Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul-Türkiye.
Background: This study aims to evaluate the performance of ChatGPT-4o in thoracic trauma management by comparing its responses to established clinical guidelines.
Methods: Five major thoracic surgery guidelines were reviewed, including the Advanced Trauma Life Support (ATLS) Guidelines 2018, Eastern Association for the Surgery of Trauma (EAST) Guidelines 2020, Evaluation and management of traumatic pneumothorax: A Western Trauma Association critical decisions algorithm 2022, European Trauma Course (ETC) Guidelines 2016, and the National Institute for Health and Care Excellence (NICE) Guidelines for Trauma 2020. Fifty open-ended questions were developed based on these guidelines and submitted to ChatGPT-4o.
Cureus
September 2025
Cardiology, KAAJ Healthcare, San Jose, USA.
We present the case of an 88-year-old female who presented to the cardiologist's clinic with symptoms of palpitations, dizziness, and fatigue. After cardiac monitoring, the patient was diagnosed with symptomatic bradycardia and required a pacemaker. During the pacemaker implantation procedure, attempts to access the subclavian vein were unsuccessful, and venography revealed severe venous spasm.
View Article and Find Full Text PDFJ Perinatol
September 2025
Neonatology Division, Cleveland Clinic Children's, Cleveland, OH, USA.
Objective: To assess pneumothorax prevalence in neonates across gestational age (GA) categories, identify associated variables, and examine the impact of bubble CPAP (b-CPAP) implementation.
Study Design: A cohort of 58,706 infants born at three hospitals over six years was analyzed, grouped by GA: ≥35 weeks, 29-34 weeks, and ≤28 weeks. Pneumothorax cases were matched with controls, and prevalence before and after b-CPAP adoption was compared.