Case 1: Recurrent Apneic Episodes in a 6-week-old Infant

1. Michal Feldon, MD* 2. Hilla Bahat, MD* 3. Shirly Gamsu, MD* 4. Noa Rosenfeld, MD* 5. Zvi Bistritzer, MD* 6. Michael Goldman, MD* 1. *Department of Pediatrics, Asaf Harofe Medical Center, Zriffin, Israel. A 6-week-old infant is brought to the hospital after apparent life-threatening events. She has had three different episodes on three consecutive days that consisted of apnea (lasting between 20 and 30 seconds), cyanosis, and, on one occasion, muscle limpness. The episodes are not directly related to meals. She is exclusively breastfed and experiences food regurgitations. She has no history of abnormal limb movements, vomiting, or diarrhea, and the mother denies use of medication by the infant or herself. Her perinatal history is uneventful. Her weight gain is normal (birthweight was 3.840 kg, weight on admission is 4.870 kg). The parents are of Ashkenazi origin, and no consanguinity is noted. There is a family history of early vascular strokes, kidney failure, and nephrolithiasis. The baby’s vital signs (heart rate 135 beats/min, respiratory …