Acta Scientific Paediatrics (ISSN: 2581-883X)

Case Report Volume 5 Issue 9

Evaluation of a 16 Days Neonate with SIDS: A Case of Massive Breast Milk Aspiration

Edwin Dias1*, Vandana GP2 and Kavya3

1Professor and HOD, Department of Pediatrics, Director of Research and Publication, Srinivas Institute of Medical Science and Research Centre and Adjunct Professor, Srinivas University, Mangalore, India
2Junior Resident, Department of Pediatrics, Srinivas Institute of Medical Science and Research Centre, Mangalore, India
3Intern, Department of Pediatrics, Srinivas Institute of Medical Science and Research Centre, Mangalore, India

*Corresponding Author: Edwin Dias, Professor and HOD, Department of Pediatrics, Director of Research and Publication, Srinivas Institute of Medical Science and Research Centre and Adjunct Professor, Srinivas University, Mangalore, India.

Received: July 05, 2022; Published: August 08, 2022

Abstract

 This case concerns a 16 days old neonate with massive milk aspiration resulting in sudden infant death syndrome (SIDS). The syndrome is defined as an unexplained death seen in an apparently healthy baby of less than one year and it usually happens while the baby is sleeping. In past this situation was also recognized as “aborted crib death” or “near miss SIDS”, but in present time these terminologies are not being used. Instead, acute life-threatening event (ALTE) is the terminology used which is defined as “an episode that is characterized by combination of central or obstructive apnea, colour change (usually cyanosis, but occasionally erythematous or plethoric), marked hypotonia (limpness), choking or gagging” [1]. Although the cause is unknown, it appears that SIDS might be associated with defects in the portion of an infant's brain that controls breathing and arousal from sleep. Besides brain defects, respiratory infection and low birth weight are also the physical factors associated with SIDS. Milk aspiration happens when either food or liquid is inhaled into the lungs. It is    commonly observed in babies with weak sucking, choking or chronic coughing while feeding, which often leads to respiratory symptoms. The most common cause is Gastroesophageal reflux disease (GERD), swallowing dysfunction, and neurological dysfunction called cerebral palsy. Aspiration may cause aspiration pneumonia which is an inflammatory condition occur due to irritative gastric contents.

Keywords: SIDS; ALTE; Aspiration Pneumonia; Massive Breast Milk Aspiration; GERD

References

  1. American Academy of Pediatrics. “National Institutes of Health consensus development conference on infantile apnea and home monitoring, Sept 29 to Oct 1, 1986”. Pediatrics 79 (1987): 292-299.
  2. Leach CE., et al. “Epidemiology of SIDS and explained sudden infant deaths”. Pediatrics4 (1999): e43.
  3. Strandberg-Larsen K. “Maternal alcohol-use disorder is associated with increased risk of Sudden Infant Death Syndrome”. Eval Based Nors2 (2014) 46-47.
  4. Willinger M., et al. “Infant sleep position and risk for sudden infant death syndrome: report of meeting held January 13 and 14, 1994, National Institutes of Health, Bethesda, MD”. Pediatrics 93 (1994): 814-819.
  5. Koehler SA., et al. “Simultaneous sudden infant death syndrome: a proposed definition and worldwide review of cases”. The American Journal of Forensic Medicine and Pathology 1 (2001): 23-32.
  6. Kinney HC. “Neuropathology provides new insight in the pathogenesis of the sudden infant death syndrome”. Acta Neuropathologica3 (2009): 247-255.
  7. Moon RY., et al. “Physician beliefs and practices regarding SIDS and SIDS risk reduction”. Clinical Pediatrics6 (2002): 391-395.

Citation

Citation: Edwin Dias., et al. “ Peripheral Neuropathies: State of the Art on Modern Use of Electrodiagnostic Examination in Guillain-Barrè Syndrome and Rehabilitative Implications in Children”. Acta Scientific Paediatrics 5.9 (2022): 02-04.

Copyright

Copyright: © 2022 Edwin Dias., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days
Impact Factor1.197

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