scholarly journals Sudden Infant Death Due to Postvaccinal Myocarditis: A Case Report

2021 ◽  
Vol 11 (3) ◽  
pp. 32227-32227
Author(s):  
Babak Salahshour ◽  
◽  
Sajjad Sadeghi ◽  
Ahmad Sajadianfar ◽  
Kambiz Soltaninejad ◽  
...  
Keyword(s):  
Infant Death ◽  
Causality Assessment ◽  
Histopathological Examination ◽  
Cardiopulmonary Arrest ◽  
Inflammatory Cells ◽  
Sudden Infant Death ◽  
Cardiac Monitoring ◽  
Sudden Infant ◽  
Case Presentation ◽  
History Of

Background: Vaccination is a fundamental strategy in public health for controlling and eradicating infectious diseases. However, the undesirable Adverse Events Following Immunization (AEFI) should be effectively monitored, prevented, and managed in societies. Previously, Sudden Infant Death (SID) has been reported as a serious AEFI. We present a rare case of SID in an 18-month-old girl due to severe myocarditis following vaccination. Case Presentation: An 18-month-old girl presented to the Emergency Department (ED) with a history of the injection of Diphtheria-Tetanus-Whole Cell Pertussis (DTwP); Measles, Mumps, and Rubella (MMR), and oral poliovirus vaccines. She expired one-hour post ED admission after the episodes of vomiting and cardiopulmonary arrest. Postmortem histopathological examination signified marked congestion and the destruction of muscle fibers in the myocardium with inflammatory cells infiltration predominantly eosinophils. Given the postmortem histopathological findings, the cause of death was concluded as severe myocarditis following vaccination. Finally, the causality assessment was performed according to the Naranjo scale; the relevant data revealed a probable association in this regard (Naranjo score 6). Conclusion: Myocarditis is a rare and probable AEFI; thus, cardiac monitoring should be recommended as a diagnostic measure in managing postvaccinal adverse effects.

Cot death and myocarditis

1992 ◽  
Vol 2 (3) ◽  
pp. 266-271 ◽  
Author(s):  
Caroline Rambaud ◽  
Cécile Cieuta ◽  
Danielle Canioni ◽  
Christine Rouzioux ◽  
Jean Lavaud ◽  
...  
Keyword(s):  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Inflammatory Cells ◽  
Sudden Infant Death ◽  
Neurological Involvement ◽  
Sudden Infant ◽  
Cot Death ◽  
Cellular Necrosis ◽  
Characteristic Features ◽  
Epidemiological Characteristics

SummaryWe have investigated the hearts from 153 infants found dead in their cots at ages ranging from one month to one year. The deaths occurred over a period of five years (January 1986 to December 1990) and were studied in a center for the study of the sudden infant death syndrome located in Paris. The epidemiological characteristics of this group are:male predominance (sex ratio 1.43), age less than four months (82%), and a predominance of winter deaths. These are the characteristic features ofthe sudden infant death syndrome. Ofthe 143 children studied with the permission of their parents, 24 (16.8%–12 girls and 12 boys) had histological lesions consistentwith myocarditis according to the Dallas criteria. The histological diagnosis of myocarditis is based on the association of cellular necrosis with a mononuclear or mixed inflammatory infiltrate. Cytoplasmic vacuolization, the presence of inflammatory cells in myocytes, and rupture of the cell walls of myocardial fibres are the equivalent histological signs of cellular necrosis. Myocarditis was diversely associated with respiratory, hepatic, muscular, gastrointestinal and/or neurological involvement. Twelve infants had previously been ill. Two died during the course of a serious illness. In only four cases was a viral association demonstrated. This incidence of myocardial involvement, similar to thatdescribed elsewhere in the literature, suggests that myocarditis could be a pathogenic explanation of some deaths thought on general autopsy investigation to be sudden and unexplained.

Gastroesophageal Reflux in Infants with a History of Near-Miss Sudden Infant Death

1991 ◽  
Vol 12 (3) ◽  
pp. 319-323 ◽  
Author(s):  
Genevieve Veereman-Wauters ◽  
Andre Bochner ◽  
Micheline Van Caillie-Bertrand
Keyword(s):  
Gastroesophageal Reflux ◽  
Infant Death ◽  
Sudden Infant Death ◽  
Near Miss ◽  
Sudden Infant ◽  
History Of

Pick Them Up or Let Them Cry (for a While)?

2021 ◽  
pp. 57-75
Author(s):  
David Rettew
Keyword(s):  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Sudden Infant Death ◽  
Child Temperament ◽  
Sudden Infant ◽  
Bed Sharing ◽  
Training Techniques ◽  
Official Position ◽  
History Of

This chapter will describe the long and fascinating battle over sleep training. It covers topics like “Ferberization” and other sleep training techniques and how to use them. Data on both the effectiveness of these methods and whether or not they can cause long-term harm will be presented. The chapter will also outline and explain the official position against infant bed-sharing, not from a focus on attachment but based on the prevention of sudden infant death syndrome. The “it depends” aspect of this chapter will explain that children have different innate sleeping abilities and how differences in child temperament and history of trauma may require parents to consider alternate sleep approaches.

Back to the Breast: An Historical Overview of the Perceived Connections Between Sudden Infant Death Syndrome and Breastfeeding

2020 ◽  
Vol 36 (2) ◽  
pp. 310-317
Author(s):  
Brittany Cowgill
Keyword(s):  
United States ◽  
Infant Mortality ◽  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Sudden Infant Death ◽  
The United States ◽  
Sudden Infant ◽  
History Of ◽  
Medical Classification ◽  
Possible Cause

In the late 19th century, physicians in the United States and Europe grew concerned about an increasingly visible subset of infant mortality: sudden infant death. Over the next 100 years, physicians worked variably to combat the problem, modifying and refining their conceptions of sudden infant mortality many times over the process. Physicians’ overlapping revisions of sudden infant mortality ultimately helped to produce the categorization of Sudden Infant Death Syndrome (SIDS), and their ensuing, fluctuating efforts to resolve this problem shed light on social and medical perceptions of the roles that biology, the environment, and infant care practices played in sudden infant death. SIDS’s official medical classification was a watershed; not only did the formal medical label establish its “authenticity” as a medical phenomenon, but the label also asserted the inexplicability of (at least some) sudden infant death episodes while simultaneously conveying that affected parents were deserving victims of a tragic loss. In the modern history of sudden infant death in the United States, breastfeeding, in particular, was understood variably as a possible cause for unnecessary infant mortality in the decades surrounding 1900; inconsequential to the occurrence of SIDS in the mid 1900s; and finally as an important and healthful way to reduce the risk for SIDS beginning in the late 1900s.

Unexpected death of an infant suffocated in the course of breastfeeding when the mother fell asleep

2021 ◽  
pp. 002581722098067
Author(s):  
Samir Nya ◽  
Hind Abouzahir ◽  
Ahmed Belhouss ◽  
Hicham Benyaich
Keyword(s):  
Infant Death ◽  
Histopathological Examination ◽  
Sudden Infant Death ◽  
Sudden Infant ◽  
Unexpected Death ◽  
Purple Colour ◽  
Internal Side ◽  
The Right ◽  
Careful Documentation ◽  
External Injury

Death following accidental suffocation due to overlaying is often overlooked, and still attributed to Sudden Infant Death Syndrome (SIDS). We report a case of sudden infant death following accidental suffocation due to breast overlaying during breastfeeding. We report the death of a two-month-old male baby, without medical history, who was found lifeless wedged under his mother’s breast. The mother subsequently admitted that she had fallen asleep while breastfeeding and awoke a few minutes later to find him wedged under her breast and not breathing. External examination of the infant’s body revealed right frontal congestion with reddish-purple colour of the right frontal skin corresponding to where the mother’s breast had overlaid his face with bilateral conjunctival petechiae with no signs of external injury. Internal examination revealed congestion with petechiae marks of the internal side of the right frontal scalp, with moderate congestion and few petechiae marks at the level of the lungs. The histopathological examination showed non-specific passive congestion, with no abnormalities. The cause of death was attributed to accidental suffocation following obstruction of external airways by the mother’s breast during breastfeeding. Accidental asphyxia cases require extensive investigation of the circumstances surrounding death, reconstruction of events, and careful documentation of the findings observed at autopsy with full histological examination which may become relevant in a specific case in later stages of the investigation.

Sudden Unexpected Death in Childhood: A Report of 50 Cases

2005 ◽  
Vol 8 (3) ◽  
pp. 307-319 ◽  
Author(s):  
Henry F Krous ◽  
Amy E. Chadwick ◽  
Laura Crandall ◽  
Julie M. Nadeau-Manning
Keyword(s):  
Family History ◽  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Sudden Infant Death ◽  
Postmortem Examination ◽  
Sudden Unexpected Death ◽  
Sudden Infant ◽  
Unexpected Death ◽  
Live Births ◽  
History Of

Sudden unexplained death in childhood (SUDC) is rare, with a reported incidence in the United States of 1.5 deaths per 100,000 live births compared with 56 deaths per 100,000 live births for sudden infant death syndrome in 2001. The objectives of this study include a proposal for a general definition for SUDC and presentation of 36 cases of SUDC and 14 cases of sudden unexpected death in childhood. Cases were accrued through referrals or unsolicited via our Web page ( www.sudc.org ). Our analyses tentatively suggest a SUDC profile characterized by cases being 1 to 3 years in age, predominantly male, and frequently having a personal and family history of seizures that are often associated with a fever. A history of recent minor head trauma is not uncommon. They are usually born at term as singletons and occasionally have a family history of sudden infant death syndrome or SUDC. Most are found prone, often with their face straight down into the sleep surface. Minor findings are commonly seen at postmortem examination but do not explain their deaths. Comprehensive review of the medical history and circumstances of death and performance of a complete postmortem examination including ancillary studies and extensive histologic sampling of the brain are critical in determining the cause of death in these cases of sudden unexpected childhood death. Legislation enabling research and formation of a multicenter research team is recommended to unravel the mystery of SUDC.

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