Idiopathic acute eosinophilic pneumonia is a rare and potentially life-threatening condition that is defined by bilateral pulmonary infiltrates and fever in the presence of pulmonary eosinophilia. It often presents acutely in previously healthy individuals and can be difficult to distinguish from infectious pneumonia. Although the exact etiology of idiopathic acute eosinophilic pneumonia remains unknown, an acute hypersensitivity reaction to an inhaled antigen is suggested, which is further supported by recent public health risks of vaping (electronic cigarette) use and the development of lung disease. In this case, a patient with a year-long history of vaping in conjunction with tetrahydrocannabinol cartridge use who was diagnosed with idiopathic acute eosinophilic pneumonia with associated bilateral hilar lymphadenopathy is described.

OBJECTIVES:

To determine if a multicomponent intervention was associated with increased use of first-line antibiotics (cephalexin or sulfamethoxazole and trimethoprim) among children with uncomplicated urinary tract infections (UTIs) in outpatient settings.

Pediatric thrombocytopenia has a wide differential diagnosis, and recently, genetic testing to identify its etiology has become more common. We present a case of a 16-year-old boy with a history of chronic moderate thrombocytopenia, who later developed constitutional symptoms and bilateral hand edema with cold exposure. Laboratory evaluation revealed evidence both of inflammation and elevated muscle enzymes. These abnormalities persisted over months. His thrombocytopenia was determined to be immune mediated. Imaging revealed lymphadenopathy and asplenia, and a muscle biopsy was consistent with tubular aggregate myopathy. Ophthalmology evaluation noted photosensitivity, pupillary miosis, and iris hypoplasia. Genetic testing demonstrated a pathogenic variant in STIM1 consistent with autosomal dominant Stormorken syndrome. Our case is novel because of the overlap of phenotypes ascribed to both gain-of-function and loss-of-function pathogenic variants in STIM1, thereby blurring the distinctions between these previously described syndromes. Pediatricians should consider checking muscle enzymes when patients present with thrombocytopenia and arthralgia, myalgia, and/or muscle weakness. Our case highlights the importance of both multidisciplinary care and genetic testing in cases of chronic unexplained thrombocytopenia. By understanding the underlying genetic mechanism to a patient’s thrombocytopenia, providers are better equipped to make more precise medical management recommendations.

Almost 1 in 4 adolescents have a sexually transmitted infection (STI). These infections are preventable through safe sexual practices and routine screening. Pediatricians are the first line of clinical care for adolescents and are well positioned to offer sexual and reproductive health care counseling and services to their patients; yet, there is a paucity of sexual health screening provided at routine health supervision visits. This article addresses the epidemiology of STIs in adolescents, reviews the evidence of current clinical practice, presents recommended STI screening from government and medical agencies, and offers strategies to address barriers to providing care for adolescents and for sexual health screening in primary care.

OM Ireland's Big Red Bus visited a housing estate in the town of Ballina in County Mayo.

OM Ireland's community outreach team participates in one of Ireland's biggest events: the 2011 National Ploughing Championships in Athy, Co. Kildare from 20 -22 September.

OM Ireland's Immersion team reflects on their first month as interns in churches around Ireland.

OM Ireland's Creative Arts Team and a group from the US lead a week-long tour into schools and a kids’ club in a housing estate.

OM Sweden joined OM Ireland for outreach over the Easter holiday in Carlow town.

To present the true meaning of Christmas, OM Ireland’s creative arts team performs a multimedia production in schools, churches and community centres around Ireland.

One Irish family experienced the transforming love of God...one woman at a time.

Through training at OM, Rebecca became more confident sharing Jesus in her home country.

Brandy and her daughter Alexia (USA) went to Ireland for a two-week outreach and left impacted just as much as they'd impacted others.

The opportunity to continue planting gospel seeds keeps drawing short-term outreach participants back to Ireland.

Sent from OM Ireland, the Fitzgibbon family followed God's call on their lives to Russia and back.

After years of the team dreaming, the Big Red Bus finally joins the National Ploughing Championships during a windstorm.

Africa Trek Coordinator Eduard* reflects on God's gifts: his life, his wife and 13 participants sharing the Gospel with Topnaar and Himba peoples in Namibia.

Three men arrive home safely after walking 2000 kilometres to raise awareness about the 2000 languages still without the Bible.

God uses theatrical evangelism camps to impact children from vulnerable populations as well as the short-term volunteers who serve.

After a trip to repair war damaged churches in the east, construction workers share their experience in order to inspire others to go.

Workers of OM Panama remind young boys with a troubled past that God has a purpose for their lives.

Balboa, Panama :: Crewmembers teach sewing skills to young mothers from a local tribe and donate sewing machines to the community.

Martin (Argentina) wasn’t sure whether short-term missions was his idea or God’s—until he went on an unforgettable 14-day outreach to Panama.

Founded by Wendy H Gilmour in 2011, Thankfifi began as a fashion blog and has since grown to cover lifestyle, travel and interiors.

A properly diversified portfolio needs some exposure to hedge funds, but negative perceptions remain a problem.

A Fin24 user looks to an expert for help in improving his credit score by paying off his debt.

A Fin24 user wants to know whether paying off a car loan or credit card will make her credit score 'look better.'

A Fin24 user who was forced into early retirement is struggling to pay credit card debt amounting to over R109 000. An expert responds.

A Fin24 user urgently seeks guidance on how to pay off debt owing to the amount of R82 000. An expert responds with workable solutions.

A Fin24 reader looking to invest in a living annuity, was shocked to find that she would have to pay fees of up to R110 000 per annum. She wants to know if there are other options. An investment expert responds.

WELL, I don't know about you but my central heating has already been on twice in September and although I don't need much of an excuse to delve into the big heavy reds, two heating days is my current one.

A Thousand Moons

COMPLAINTS about holidays have overtaken job concerns as the number one issue for hundreds of Scots contacting two independent national advice services every day during the coronavirus crisis.

RIGHT now, Shahbaz Majeed should be heading to Glencoe. Or flying over central Scotland. Or making his way to Harris which he has been trying to get back to since his first visit in 2018. Or maybe visiting some other part of Scotland so he can capture it in a photograph. Instead, he is at home in Dundee (where he is web development manager at the University of Dundee), “climbing the walls,” and looking forward to life after lockdown.

IT’S not everyone who’s given the chance to design their own tartan so when the opportunity arose, Vixy Rae didn’t need to give it a second thought.

ANNA ACQUROFF, MODEL/MUSICIAN

The budget for Census 2021 is ringfenced and won't be compromised as Treasury seeks funds to fight Covid-19, says Statistician-General Risenga Maluleke.

God provides for OM EAST’s Bosnia Schoolbags Project this year in special and surprising ways.

OM EAST produces a new booklet that brings a message of hope to women working in prostitution.

OM EAST rejoices at God’s provision sent by post.

Graphic designers, translators and distributors from 130 organisations meet to develop media for minority languages in Eurasia.

After years of work and anticipation, Gypsy Smith has been published in Serbian, a cause for rejoicing in a Roma church in Serbia.

On 26 June, students from Austria Training Centre’s first year completed training in church planting, evangelism and discipleship.

ANDY MURRAY may need to have another operation as he continues his bid to return to top-level tennis.

ANDY MURRAY has had a bumpy ride over the past couple of years, undergoing hip surgery, staging a comeback which saw him win his first title in two years before another injury setback has seen him sidelined since the tail-end of last year.

We follow Swindon Town Football in the Community Under-17 girls on their journey from England to the Gothia Cup in Sweden.