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{
    "pk": 18302,
    "title": "Food Protein-Induced Enterocolitis Syndrome as a Cause for Infant Hypotension",
    "subtitle": null,
    "abstract": "Infants with food protein-induced enterocolitis syndrome (FPIES) may present to the emergency department (ED) with vomiting and hypotension. A previously healthy, 5-month-old male presented with vomiting and hypotension 2 to 3 hours after eating squash. The patient was resuscitated with intravenous fluids, antibiotics, and admitted for presumed sepsis. No source of infection was ever found and the patient was discharged. The patient returned 8 days later with the same symptoms after eating sweet potatoes; the diagnosis of FPIES was made during this admission. Two additional ED visits occurred requiring hydration after new food exposure. FPIES should be considered in infants presenting with gastrointestinal complaints and hypotension. A dietary history, including if a new food has been introduced in the last few hours, may help facilitate earlier recognition of the syndrome. [West J Emerg Med. 2011;12(4):512–514.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "FPIES"
        },
        {
            "word": "enterocolitis"
        },
        {
            "word": "infant hypotension"
        },
        {
            "word": "Allergy and Immunology"
        },
        {
            "word": "Digestive System Diseases"
        },
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "pediatrics"
        }
    ],
    "section": "Clinical Practice",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/11r5v191",
    "frozenauthors": [
        {
            "first_name": "Ryan",
            "middle_name": "W.",
            "last_name": "Coates",
            "name_suffix": "",
            "institution": "Lehigh Valley Hospital and Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Kevin",
            "middle_name": "R",
            "last_name": "Weaver",
            "name_suffix": "",
            "institution": "Lehigh Valley Hospital and Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Rezarta",
            "middle_name": "",
            "last_name": "Lloyd",
            "name_suffix": "",
            "institution": "Lehigh Valley Hospital and Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Nicole",
            "middle_name": "",
            "last_name": "Ceccacci",
            "name_suffix": "",
            "institution": "Lehigh Valley Hospital and Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Marna",
            "middle_name": "Rayl",
            "last_name": "Greenberg",
            "name_suffix": "",
            "institution": "Lehigh Valley Hospital and Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania",
            "department": "None"
        }
    ],
    "date_submitted": "2010-11-14T08:00:00Z",
    "date_accepted": "2010-11-14T08:00:00Z",
    "date_published": "2011-05-27T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/18302/galley/9401/download/"
        }
    ]
}