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Consolato Sergi, MD; Otwin Linderkamp, MD
From the Institute of Pathology (Dr Sergi) and the Department of Neonatology (Dr Linderkamp), University Hospital, Heidelberg, Germany.

Arch Pediatr Adolesc Med. 2001;155:967-968.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 14-MONTH-OLD GIRL, born to a German family with severe psychosocial problems, was breastfed for 4 weeks and then given cow's milk. Vaccinations and vitamin D prophylaxis were not administered. A home examination by emergency medical services revealed a dehydrated asystolic child (not breathing, blue lips, middle-wide pupils without light reaction). On admission, she was intubated, received epinephrine intratracheally, and was transported to the intensive care unit. Her heart rate was 95 bpm with no peripheral pulse or measurable blood pressure, cerebral reflexes were lost, and electroencephalograms showed no electrical activity. Laboratory analysis: white blood cell count, 21.6 x10³/µL; red blood cell count, 4.0 x 10⁶/µL; hemoglobin, 9.5 g/dL; hematocrit, 32%; platelet count, 201 x 10³/µL; C-reactive protein, 0.087 g/L; total protein, 4.2 g/dL; blood urea nitrogen, 84 mg/dL; creatinine, 1.9 mg/dL; prothrombin time, 49 s; partial platelet thromboplastin time, . . . [Full Text of this Article]