Imaizumi S O, Balsara G R
Department of Pediatrics, Medical College of Pennsylvania, Philadelphia.
Am J Perinatol. 1989 Jul;6(3):281-3. doi: 10.1055/s-2007-999592.
A sudden and unexpected death, at 26 hours of age, of a term infant with no identifiable risk factors either in the prenatal or in the immediate neonatal period is described. The most remarkable postmortem findings were confined to the lungs, which had many areas of aspirated amniotic fluid, as well as extensive areas of bronchopneumonia. Postmortem cultures of the lung revealed Citrobacter freundii. This case is an atypical presentation of this devastating neonatal infection, both because of the absence of central nervous system involvement and because of the total absence of clinical signs before death.
本文描述了一名足月儿在出生26小时时突然意外死亡的病例，该患儿在产前及新生儿早期均无明确的危险因素。最显著的尸检发现局限于肺部，有许多羊水吸入区域以及广泛的支气管肺炎区域。肺部尸检培养显示弗氏柠檬酸杆菌。该病例是这种严重新生儿感染的非典型表现，既因为没有中枢神经系统受累，也因为在死亡前完全没有临床症状。
