[Clinical and anatomo-pathologic study of 59 cases of sudden infant death].
A proper organization has been set up at Antoine-Béclère's hospital in order to study the infants who died suddenly. Between July 1985 and July 1987, 69 cases (10 babies less than 1 week of age) were admitted. The purpose of this work was, for the 59 sudden deaths of infants aged more than 1 week (35 males, 24 females), to present the results of a definite protocol of investigation (past history, clinical examination, laboratory and pathological data) for determining either the etiology or the mechanism of these deaths. A thorough investigation was performed in 45/52 cases (no autopsy in 7 cases). A definite diagnosis was possible in 38/45: 13 viral infections, 5 gastro-esophageal reflux, 13 viral infections associated with reflux, 9 with an additional event (massive alimentary inhalation, slipping under blankets, major hyperthermia) to either a viral infection or a reflux, 1 cardiac malformation, 1 metabolic disorder, 2 accidents and 1 infanticide. With this protocol, 7/45 deaths remained unexplained. This medical approach of the problem of sudden deaths in infants is beneficial to the counselling of the parents and to the management of subsequent children.
Dehan
M
M
Service de Réanimation Néonatale, Hôpital Antoine-Béclère.
Imbert
M C
MC
Gautier
J P
JP
Benisvy
C
C
Roset
F
F
Magny
J F
JF
Saby
M A
MA
Dworzak
P
P
Guyot
H
H
Chabernaud
J L
JL
D001344:Autopsy; D003625:Data Collection; D004032:Diet / Q000009:adverse effects; D004942:Esophagitis, Peptic / Q000150:complications; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008659:Metabolic Diseases / Q000150:complications; D013398:Sudden Infant Death / Q000209:etiology / Q000473:pathology; D014777:Virus Diseases / Q000150:complications
Etude clinique et anatomo-pathologique de 59 cas de mort subite du nourrisson.