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{
    "pk": 976,
    "title": "A Young Boy with Fever and Grunting",
    "subtitle": null,
    "abstract": "Case Presentation: \nA 16-month-old boy presented with acute fever of 99° Fahrenheit (after receiving antipyretics), grunting, and tachypnea. On examination, he was tachycardic, tachypneic, and ill-appearing with abdominal distention and diffuse tenderness. A plain film abdominal radiograph showed moderate free air, and emergent laparoscopy revealed perforated Meckel’s diverticulitis with peritonitis.\nDiscussion: \nAlthough tachypnea and grunting in preverbal or nonverbal patients are often considered to be signs of respiratory illness, these findings may reflect intra-abdominal emergencies. Perforated Meckel’s diverticulitis is an important differential consideration in patients with pneumoperitoneum.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 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\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/4.0"
    },
    "keywords": [
        {
            "word": "pneumoperitoneum"
        },
        {
            "word": "grunting"
        },
        {
            "word": "pediatric abdominal emergencies"
        }
    ],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/91v46531",
    "frozenauthors": [
        {
            "first_name": "Daniel",
            "middle_name": "J.",
            "last_name": "Shapiro",
            "name_suffix": "",
            "institution": "Boston Children’s Hospital, Department of Pediatrics, Boston, Massachusetts; Boston Children’s Hospital, Division of Emergency Medicine, Boston, Massachusetts",
            "department": "None"
        },
        {
            "first_name": "Jeffrey",
            "middle_name": "T.",
            "last_name": "Neal",
            "name_suffix": "",
            "institution": "Boston Children’s Hospital, Department of Pediatrics, Boston, Massachusetts; Boston Children’s Hospital, Division of Emergency Medicine, Boston, Massachusetts",
            "department": "None"
        }
    ],
    "date_submitted": "2021-01-17T04:29:43+08:00",
    "date_accepted": "2021-01-17T04:29:43+08:00",
    "date_published": "2021-01-17T04:30:48+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/976/galley/724/download/"
        }
    ]
}