Starch accumulation in the lungs of two infants following positive ventilation
Case 1: The first infant was a 10-month-old male who died on a cold winter day in a nursery. He was fed milk and cookies at approximately 10:00 a.m. At approximately 11:00 a.m., he was placed together with two other infants in the prone position in the middle of a large baby bed covered with a fitted bed sheet and a blanket that was usually kept in a bedroom. Two school staff were in the living room performing work on a computer until approximately 11:30 a.m. One of the staff members checked on the infant in bed at this time and found him unresponsive. CPR was performed immediately and he was taken to the emergency room in a hospital, but resuscitation was unsuccessful. He suffered from ventricular fibrillation in the ambulance and from cardiac arrest after arriving at the hospital.\nA complete judicial autopsy examination showed an anatomically normal infant. The infant appeared adequately developed and well nourished for his age; he weighed 9,500 g and was 76 cm in length. There was no evidence of trauma. All internal viscera were unremarkable, except for visceral congestion, including pulmonary (lung weight, left/right: 75/90 g) and cerebral edema (brain weight, 930 g), and congestion.