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A fetus surviving a prenatal penetrating gunshot injury is rarely encountered. We report the case of a 26-week pregnant mother shot in the abdomen. Her uterine wound was missed at exploration, and when the baby was born 6 weeks later, the bullet was found in the superficial soft tissues of his posterior neck. It was removed without difficulty, and the baby, our youngest trauma patient ever, recovered without sequelae. [ABSTRACT FROM AUTHOR]

Fecal microbiota transplantation (FMT) is an emerging experimental therapy for treatment of recurrent Clostridium difficile infection. In the future, FMT has the potential to be a treatment modality in other diseases that involve gut dysbiosis. As use of FMT is likely to expand, pediatric nurses need a clear understanding of FMT to provide appropriate education, assessment, and care for these patients. Pediatric research and clinical nurses are a resource to help children and parents understand the procedure. Important topics include donor screening, patient assessment before, during, and after treatment; routes of administration and positioning; preparation for discharge and followup evaluation. [Copyright &y& Elsevier]

We report a case of Paenibacillus wound infection in an immunocompetent and otherwise healthy nine-year-old boy who sustained a laceration following an all-terrain vehicle crash. During his course, he failed non-operative management and required multiple wound washouts and a thirty-six-day course of antibiotics. While this pathogen is most known for causing honeybee disease known as American Foulbrood (AFB), Paenibacillus has been implicated in a handful of human wound complications in the post-traumatic setting. This is a rare, opportunistic bacteria that is resistant to many commonly prescribed antibiotics. Less than twenty cases of human Paenibacillus wound infections have been reported in the literature and when they do occur, they often affect immunocompromised patients or those with chronic medical co-morbidities. In the last ten years, there have been four case reports of neonatal sepsis caused by this pathogen. This appears to be the first pediatric Paenibacillus wound infection reported. [ABSTRACT FROM AUTHOR]