Quattromani Martina, Calzedda Roberta, Monti Giovanna
Department of Pediatric Allergology, Regina Margherita Children's Hospital, Turin, Italy.
J Pediatr Intensive Care. 2020 Dec;9(4):287-289. doi: 10.1055/s-0040-1705184. Epub 2020 Mar 6.
Food protein-induced enterocolitis syndrome (FPIES) is a nonimmunoglobulin E cell-mediated food allergy, which occurs predominantly in infants and young children. The most commonly incriminated triggers are cow's milk (CM), soy, and grains. Acute FPIES can be potentially life-threatening and culminate in shock requiring fluid resuscitation in at least 15% of the cases. To our knowledge, there have been no reports in literature of cardiorespiratory arrest induced by acute FPIES. We describe the first case of cardiorespiratory arrest occurred after accidental ingestion of a CM-based formula in a 5-month-old infant with previous diagnosis of FPIES to CM.
食物蛋白诱导的小肠结肠炎综合征（FPIES）是一种非免疫球蛋白E细胞介导的食物过敏，主要发生于婴幼儿。最常见的诱发因素是牛奶（CM）、大豆和谷物。急性FPIES可能会危及生命，至少15%的病例最终会发展为休克，需要进行液体复苏。据我们所知，文献中尚无急性FPIES诱发心肺骤停的报道。我们描述了首例在一名先前诊断为对CM过敏的FPIES的5个月大婴儿意外摄入含CM配方奶粉后发生心肺骤停的病例。
