Starch accumulation in the lungs of two infants following positive ventilation
Case 2: The second infant was an 8-month-old female who died on an early summer day in a nursery. This infant and nursery had no known direct familial link or relationship to Case 1. She was fed approximately 200 mL of milk at approximately 12:40 p.m. She was put to bed in the supine position with her head turned sideways at approximately 1:35 p.m. and was heard to cry once at 2:45 p.m. The school’s staff were in the same room playing with the infant’s 2-year-old brother until approximately 4:15 p.m. The staff checked on the infant in bed at this time and found her unresponsive. CPR was undertaken immediately, but death was certified after 1.5 h.\nA complete judicial autopsy examination showed an anatomically normal infant. The baby appeared adequately developed and well nourished for her age; she weighed 7,500 g and was 70 cm in length. An autopsy revealed no evidence of trauma. All internal viscera were unremarkable, except for visceral congestion including pulmonary (lung weight, left/right: 60/70 g) and cerebral edema (brain weight: 900 g).