Louisiana Research Day Program Book 2025

Case Studies: Section 1

Case Studies: Section 1

Kason Goss, OMS-IV; Randy Aldret, EdD; Carrie Baker-Royer, DO, FAAP; Stephen Epps, MD 1 VCOM-Louisiana; 2 Arkansas Children’s Hospital 80 A SILENT KILLER: THE CASE OF SUDDEN CARDIAC ARREST IN A TEENAGE ATHLETE WITH ASYMPTOMATIC WOLFF PARKINSON-WHITE SYNDROME

Kiara Pankratz OMS-III, Lawerence Menache, MD 1 VCOM-Louisiana; 2 Christus St. Frances Cabrini Hospital 81 A CASE OF FOUR PRIMARY TUMORS: WHY NOT JUST WAIT FOR THE FIFTH ONE?

Background: This case report follows the clinical presentation and hospital course of a 13-year-old male athlete with previously undiagnosed Wolff-Parkinson-White syndrome (WPW). Following this patient’s sudden cardiac arrest, effective bystander CPR and AED utilization allowed for return of spontaneous circulation (ROSC). The patient was then transferred to our facility, where he stayed in the pediatric intensive care unit (PICU) and, later, the cardiovascular intensive care unit (CVICU) before making a full recovery. This case advances the understanding of how WPW can present in young athletes while advocating for additional research into the underlying genetic code that may be a contributing factor for development of the disorder in-utero. This case also serves to commemorate the courageous efforts of the school faculty who effectively performed life saving measures, while clearly demonstrating the continual need to bring awareness for heart disease in the public sphere.

Background: One patient with four primary tumors in four different sites over the course of a lifetime is extremely rare. Improved cancer survival rates has increased the possibility of presenting with multiple primary tumors. Quadruple tumors only comprise 0.3% of malignancies worldwide. There are several factors that need to be considered when it comes to delineating the cause of multiple primary malignancies. A constellation of tumors might suggest a syndrome where concurrent cancers are common, cancer treatment-induced malignancy, and medicinal, environmental, or occupational exposure. This is a case report about a patient that has developed four primary malignancies in four seemingly unrelated areas, over 40 years, with no outright risk factor to neatly explain the constellation of malignancies. Upon review of current literature, this patient does not fit any previous case studies because of the early initial age of his first cancer. This patient presented with his first malignant diagnosis at 18 years old. Whereas a previous literature review cited 9 patients with four primary malignancies but the youngest malignancy diagnosis in that literature review was 40 years old.

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2025 Research Recognition Day