This case report aims to share with readers the experience of the medical team of the hospital A. Manzoni in Lecco, who has had to handle a sudden cardiac arrest in an infant of three months old, a context in which the clinical features remained unclear and blurred all the time of resuscitation, until the exploration autopsy and pathological investigation outlined in its components.The baby, 96 days old, had been conducted in pediatric emergency from the parents, because during the night she had appeared agitated; parents also reported excesses of uncontrollable coughing and power failure during the previous 12 hours. The patient was hypothermic (35.9°C rectal temperature), with episodes of unconsolable crying; then she was borught to the attention of a pediatrician with a priority value equal to 4 (noncritical) [1,2].Physical examination shows fairly good general conditions, weight of 4, 820 grams (reportedly on the rise), drowsiness Glasgow Coma Scale=11 (be awakened by a painful stimulus), plaintive cry, photometer reflex present; no meningeal signs; Moro reflex present; pale-pink skin with signs of hypothermia over the extremities and perioral cyanosis; breath leaning; at auscultation chest the murmur was tightened, but without the presence of noise added; no organomegaly. Given the difficulties in finding a peripheral venous access, the anesthetist and the neonatologist were contacted to collaborate in assisting the infant [3,4].On their arrival the general conditions were already deteriorating. The breath had become rapidly tachi-dyspnoeic and therapy with oxygen mask with reservoir was started. The peripheral Molecular Biology Becomes Diagnostic Tool in the Newborn Emergency Department: A Rare Case of Child Idiopathic Arterial Calcification AbstractA Turkish infant of 96 days is accepted to the pediatric emergency room after being carried by their parents because of inconsolable crying, persistent cough, and difficulty in feeding during the previous day.Although she was aware and nor signs nor symptoms was suggestive of an impending MOF, in a few minutes it takes over an asystolic cardiac arrest. It was found the exitus after 75 minutes of resuscitation.The autopsy report indicates as pathological cause of death a rare form of childhood idiopathic calcific arterial disease caused by mutation of the gene encoding the same name EPP1 enzyme.
We describe the case of an Italian, Caucasian nine-year-old girl, suffering from a unilateral tonsillar swelling. Histopathological and immune-histochemical exams show a lymphoepithelial reactive hyperplasia overlap with a chronicle inflammation.Microbiologic swaps reveal a throat infection caused by Streptococcus pyogenes, and a probable viral infection, caused by Ebstein Barr Virus (EBV). We underline the importance to recognise and consider this benign lesion due to its similarities with a malignant neoplastic form, especially during differential diagnosis of cervical swellings in young women. This is one of the rare cases described in scientific literature in the last years, especially among caucasian race.
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