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Lupin beans are the yellow legume seeds of the genus Lupinus. They are traditionally eaten as a pickled snack in many countries. Bitter lupin beans have a high amount of alkaloids called lupanine. Because the alkaloid is responsible for anticholinergic toxidrome, the beans should pass a debittering process before consumption. Only few pediatric cases of lupin bean intoxication were reported. We present a 12-year-old boy who visited the emergency department for the unexpected onset of anticholinergic toxidrome.

Although the influenza virus usually causes a self-limiting disease, deaths are reported even in children without risk factors. We aimed to identify clinical features, mortality associated with severe Influenza A and B virus infections of children admitted PICU. We conducted a retrospective study in children with confirmed influenza infection between 2012-2019 who were admitted to PICU. Demographic features, risk factors, clinical data, microbiological data, complications and outcomes were collected. During 7 influenza seasons (2012-2011 to 2015-2016) 713 children diagnosed with laboratory-confirmed influenza related lower respiratory tract infection, and pediatric intensive care unit admission was needed in 6% (46/713) of the patients. Thirty-one patients (67.4%) were diagnosed with Influenza A and 15 patients were diagnosed with Influenza B. Epidemiologic and clinical characteristics were similar in both Influenza types, lactate dehydrogenase levels were significantly higher for Influenza A than for Influenza B infections. Although the Influenza A to B ratio among the patients admitted to the PICU was 2.06, the percentage of cases requiring PICU admission was nearly two times higher in Influenza B cases. There was no statistically significant difference in disease severity and complications in patients with Influenza A and Influenza B. This article is protected by copyright. All rights reserved.

Left ventricular assist devices have become an important therapeutic option as a mechanical circulatory support system in the treatment of end -stage heart failure. Organ transplants from brain dead donors on mechanical circulatory support are rare. In the literature, many successful solid-organ transplants have been reported using these donors. However, to our knowledge, this is the first report of successful solid-organ transplant from a child donor with a nonpulsatile ventricular assist device.