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Life Threatening? Yes
Write-up: Information has been received from a certified medical assistant concerning a 7-month-old male with no medical history or allergies who on 10-AUG-2006, 12-OCT-2006 and 14-DEC-2006 was vaccinated PO with the first, second and third doses, respectively of Rotateq vaccine (human-bovine) (lot#s 65424B/0577F and 655484/1032F - administration dates not specified). There was no concomitant therapy. The CMA reported that on 26-JAN-2007, the patient presented with a rash and vomiting. The patient was diagnosed with an ileocolic intussusception that could not be reduced by Barium enema. The patient was subsequently hospitalized and surgical correction was pending. No laboratory/diagnostic tests were performed. At the time of this report, the outcome was unknown. The CMA also considered the patient''s rash and ileocolic intussusception to be life-threatening and other important medical events. Additional information has been requested. 2/22/07 Received medical records from hospital which reveal patient experienced acute onset abdominal pain & vomiting. Hospitalized from 1/26-1/30/07 after being transferred from outlying hospital. BE done x3 at outlying hospital revealed intussusception but was unreducible & so subsequently transferred to higher level of care for management. Air enema done at second hospital also unsuccessful at reducing. Taken emergently to OR for exp lap & reduction w/appendectomy. Uneventful recovery & was d/c to home to be f/u w/peds surgeon & PCP. FINAL DX: Ileocolic Intussusception, surgically reduced.
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