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We report a rare case of combined supra- and infracardiac type of total anomalous pulmonary venous connection (mixed-type TAPVC) in a 26-day-old low birth weight (1.9 kg) infant who was admitted with respiratory distress. The child underwent successful surgical repair using a novel surgical technique and is doing well at one year follow-up.

Organicintra-orbital foreign bodies pose a diagnostic and management challenge to ophthalmologists. There can be grave complications associated with their retention. The presence of an intra-orbital mass with a discharging sinus should evoke suspicion of a retained organic foreign body, regardless of the time interval between the trauma and current presentation. Spontaneous extrusion of foreign body is rare. We present a case of a child with intraorbital wooden foreign body which was missed even after thorough exploration of orbit and which spontaneously extruded after a period of three weeks.

outside the submitted work. No other disclosures were reported.Disclaimer: Drs McWilliams and Wang are associate editors of JAMA Internal Medicine, but they were not involved in any of the decisions regarding review of the manuscript or its acceptance.1. @DrTedros. Knowing & understanding an epidemic is the first step to defeating it. We are in unchartered territory with #COVID19. We have never before seen a respiratory pathogen that is capable of community transmission, but which can also be contained with the right measures. March 2, 2020. Accessed May 9, 2020. https://twitter.com/drtedros/status/ 1234532869197922304?lang=en 2. Pundi K, Perino AC, Harrington RA, Krumholz HM, Turakhia MP. Characteristics and strength of evidence of COVID-19 studies registered in ClinialTrials.gov. JAMA Intern Med.