A 5-Month-Old Infant with Cardiorespiratory Arrest Caused by Food Protein-Induced Enterocolitis Syndrome to Cow's Milk Proteins

J Pediatr Intensive Care. 2020 Dec;9(4):287-289. doi: 10.1055/s-0040-1705184. Epub 2020 Mar 6.

Abstract

Food protein-induced enterocolitis syndrome (FPIES) is a nonimmunoglobulin E cell-mediated food allergy, which occurs predominantly in infants and young children. The most commonly incriminated triggers are cow's milk (CM), soy, and grains. Acute FPIES can be potentially life-threatening and culminate in shock requiring fluid resuscitation in at least 15% of the cases. To our knowledge, there have been no reports in literature of cardiorespiratory arrest induced by acute FPIES. We describe the first case of cardiorespiratory arrest occurred after accidental ingestion of a CM-based formula in a 5-month-old infant with previous diagnosis of FPIES to CM.

Keywords: cardiorespiratory arrest; cow's milk; food protein-induced enterocolitis syndrome.

Publication types

  • Case Reports