Coxsackievirus in an infant chimpanzee.

Coxsackie B viruses may cause a severe, often fatal, illness in newborn and infant human subjects. As recorded in this case, infant chimpanzees respond similarly to Coxsackie B-5 virus.     

Severe hypernatremic dehydration in an infant with Netherton syndrome.

Netherthon syndrome is a rare autosomal recessive disease characterized by ichthyosis, the characteristic hair abnormality trichorrhexis invaginata and atopic manifestations. We report a female child with the severe hypernatremic dehydration form of the Netherton syndrome born as the first child of consanguineous parents. Ichthyosis was present at birth. She was admitted to the intensive care unit at the age of 4 days with important loss of weight and dehydration. Severe hypernatremia and convulsions occurred. Despite intensive care the baby died at the age of 11 days. The diagnosis of Netherton syndrome was confirmed by the finding of the pathognomonic hair shaft anomaly trichorrhexis invaginata (bamboo hair) and premature lamellar body secretion and foci of electron-dense material in the intercellular spaces of stratum corneum as relatively specific markers for Netherton syndrome. Netherton syndrome is characterized by a large variability in phenotypic expression. The major neonatal complication is the hypernatremic dehydration, which can be fatal as in this patient or complicated by neurologic signs (intracranial hemorrhage) and secondary sequellae. Molecular studies revealed a mutation in SPINK 5, encoding a serine protease inhibitor. Prenatal diagnosis was performed in the second pregnancy and showed that the fetus was equally affected.     

Cervical neuroblastoma in an infant

The case of a one-month-old patient admitted to the Department of Pediatrics (Medical and Health Science Center, Debrecen University) because of respiratory distress caused by a cervical mass compressing the upper respiratory pathways is presented. The mass could only be partially removed, the histological diagnosis proved to be neuroblastoma (SBCT: "small blue cell tumor"). Despite the fact that the DNA index of tumor cells (ploidy measurements) and the age of the patient suggested a favourable prognosis, the tumor continued to grow and metastases appeared. Because of symptoms of compression exerted on the respiratory system by the tumor, chemotherapy had to be applied. Since a standard OPEC/OJEC chemotherapeutic protocol proved to be not entirely effective and a residual tumor was still present, retinoic acid and interferon treatment was introduced. Presently, 4 years after the diagnosis, the patient is in complete remission and can be considered to be cured. The case presented here demonstrates that despite the favorable prognosis of the majority of infant neuroblastomas, in some cases the anatomic location of the tumor, leading to disturbance of vital functions, may serve as indication of chemotherapy. Our experience also proved the efficacy of retinoic acid and interferon treatment in relapsed neuroblastoma.     

Fulminant cryptosporidiosis after near-drowning: a human Cryptosporidium parvum strain implicated in invasive gastrointestinal adenocarcinoma and cholangiocarcinoma in an experimental model

In the present work, we report the characterization of a Cryptosporidium parvum strain isolated from a patient who nearly drowned in the Deule River (Lille, France) after being discharged from the hospital where he had undergone allogeneic stem cell transplantation. After being rescued and readmitted to the hospital, he developed fulminant cryptosporidiosis. The strain isolated from the patient's stools was identified as C. parvum II2A15G2R1 (subtype linked to zoonotic exposure) and inoculated into SCID mice. In this host, this virulent C. parvum isolate induced not only severe infection but also invasive gastrointestinal and biliary adenocarcinoma. The observation of adenocarcinomas that progressed through all layers of the digestive tract to the subserosa and spread via blood vessels confirmed the invasive nature of the neoplastic process. These results indicate for the first time that a human-derived C. parvum isolate is able to induce digestive cancer. This study is of special interest considering the exposure of a large number of humans and animals to this waterborne protozoan, which is highly tumorigenic when inoculated in a rodent model.     

Effective use of a joystick by an infant monkey

The acquisition of the ability to use a joystick to maintain contact between a cursor and moving target is described for an infant bonnet macaque (Macaca radiata). The infant was first exposed to a very elementary joystick task while living in a social group at the age of 3.5 months. With task difficulty increased in small increments over a total of only 9 weeks of access to the tasks, the infant was able to maintain contact with a small moving target for over 2.5 sec by the age of 7.5 months. © 1994 Wiley-Liss, Inc.     

Dive response of children in relation to cold-water near-drowning

The strength of the dive response, as judged by the combination of breath-hold duration (BHD) and bradycardia, was compared in 87 children (4-13 yr old) and 68 adults (20-68 yr old) during simulated dives in 29 degrees C water. Mean BHD in children (16.1 s) was only 37.4% (P less than 0.001) of adult BHD (43.0 s). Within children, BHD was significantly (P less than 0.001) dependent on age (A in yr) according to the regression BHD = -1.46 + 2.27A. No age dependency of BHD occurred in adults. Due to the low BHD of children, only 14/87 (16.1%) were able to breath hold for the 25 s necessary to develop full diving bradycardia. For these 14 children, their bradycardia (36.1% reduction) was insignificantly different (P greater than 0.50) from that of adults (36.4%). These experimental findings demonstrate that the dive response of children is extremely weak, due mainly to their very low BHD. Since lower water temperature would probably accentuate the shortness of BHD (according to previous findings for adults), it is concluded that the dive response is unlikely to make a significant contribution to the prolonged resuscitatibility of children who are victims of cold-water near-drowning.