RESUMO
A previously healthy 12-year-old boy had severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-related multisystem inflammatory syndrome (MIS-C) that was rapidly fatal. Autopsy revealed the presence of a large intracardiac thrombus. SARS-CoV-2 spike protein was detected in intestinal cells, supporting the hypothesis that viral presence in the gut may be related to the immunologic response of MIS-C.
Assuntos
COVID-19 , Intestinos , Glicoproteína da Espícula de Coronavírus , COVID-19/complicações , COVID-19/patologia , Criança , Evolução Fatal , Humanos , Intestinos/virologia , Masculino , SARS-CoV-2 , Síndrome de Resposta Inflamatória SistêmicaRESUMO
More than 40 percent of deaths from child abuse occur among children younger than 5 years. The injury pattern in child abuse is block abuse head trauma which in the most severe cases produces brain death. Organ donation is uncommon in children younger than five years. We describe two cases of child abuse that caused brain death; subsequently they were subsidiary for organ donation. It is very important to establish a good coordination between health, social care and legal assistance teams to obtain organ donation.
Assuntos
Morte Encefálica , Maus-Tratos Infantis , Obtenção de Tecidos e Órgãos , Pré-Escolar , Humanos , Lactente , MasculinoRESUMO
Más del 40 por ciento de las muertes por maltrato infantil se producen entre los niños menores de 5 años. El patrón de lesión es el traumatismo encefalocraneano abusivo, que, en los casos más graves, conduce a la muerte cerebral. La donación de órganos en menores de 5 años es poco frecuente. Se describen dos casos de maltrato infantil que causó la muerte encefálica en un niño de un mes y otro de cuatro años de edad, quienes posteriormente fueron candidatos para la donación de órganos. Es crucial la existencia de una buena coordinación entre los equipos sanitarios, de asistencia social y jurídica para intentar obtener la donación de órganos en los casos de muerte encefálica secundaria a maltrato.(AU)
More than 40 percent of deaths from child abuse occur among children younger than 5 years. The injury pattern in child abuse is block abuse head trauma which in the most severe cases produces brain death. Organ donation is uncommon in children younger than five years. We describe two cases of child abuse that caused brain death; subsequently they were subsidiary for organ donation. It is very important to establish a good coordination between health, social care and legal assistance teams to obtain organ donation.(AU)
RESUMO
Más del 40 por ciento de las muertes por maltrato infantil se producen entre los niños menores de 5 años. El patrón de lesión es el traumatismo encefalocraneano abusivo, que, en los casos más graves, conduce a la muerte cerebral. La donación de órganos en menores de 5 años es poco frecuente. Se describen dos casos de maltrato infantil que causó la muerte encefálica en un niño de un mes y otro de cuatro años de edad, quienes posteriormente fueron candidatos para la donación de órganos. Es crucial la existencia de una buena coordinación entre los equipos sanitarios, de asistencia social y jurídica para intentar obtener la donación de órganos en los casos de muerte encefálica secundaria a maltrato.(AU)
More than 40 percent of deaths from child abuse occur among children younger than 5 years. The injury pattern in child abuse is block abuse head trauma which in the most severe cases produces brain death. Organ donation is uncommon in children younger than five years. We describe two cases of child abuse that caused brain death; subsequently they were subsidiary for organ donation. It is very important to establish a good coordination between health, social care and legal assistance teams to obtain organ donation.(AU)
RESUMO
Más del 40 por ciento de las muertes por maltrato infantil se producen entre los niños menores de 5 años. El patrón de lesión es el traumatismo encefalocraneano abusivo, que, en los casos más graves, conduce a la muerte cerebral. La donación de órganos en menores de 5 años es poco frecuente. Se describen dos casos de maltrato infantil que causó la muerte encefálica en un niño de un mes y otro de cuatro años de edad, quienes posteriormente fueron candidatos para la donación de órganos. Es crucial la existencia de una buena coordinación entre los equipos sanitarios, de asistencia social y jurídica para intentar obtener la donación de órganos en los casos de muerte encefálica secundaria a maltrato.
More than 40 percent of deaths from child abuse occur among children younger than 5 years. The injury pattern in child abuse is block abuse head trauma which in the most severe cases produces brain death. Organ donation is uncommon in children younger than five years. We describe two cases of child abuse that caused brain death; subsequently they were subsidiary for organ donation. It is very important to establish a good coordination between health, social care and legal assistance teams to obtain organ donation.
Assuntos
Recém-Nascido , Pré-Escolar , Obtenção de Tecidos e Órgãos , Morte Encefálica , Maus-Tratos InfantisRESUMO
More than 40 percent of deaths from child abuse occur among children younger than 5 years. The injury pattern in child abuse is block abuse head trauma which in the most severe cases produces brain death. Organ donation is uncommon in children younger than five years. We describe two cases of child abuse that caused brain death; subsequently they were subsidiary for organ donation. It is very important to establish a good coordination between health, social care and legal assistance teams to obtain organ donation.