Breastfeeding vs. Infant Formula Feed: A Mini Review

Case ReportA 6-month-old girl was admitted to the intensive care unit of a tertiary pediatric hospital for shortness of breath and respiratory distress for three days following one month of cough.A er five days antibiotics therapy (amoxicillin sulbactam for three days followed by meropenem for two days), chest CT scan showed severe pneumonia with local consolidation.A er fiberoptic bronchoscopy and alveolar lavage, she was intubated for ventilation and transported by ambulance to our hospital because of persistent cyanosis.e girl was gravida 2 para 2 and vaginal delivered spontaneously at full gestation age to a gravida 2 para 2 mother with Apgar score of 10 at first minute and birth weight 4000 g.Her non-consanguineous parents and elder brother were healthy.ere was no family history of tuberculosis.She was vaccinated at birth for BCG and hepatitis B and no other vaccinations were given because of recurrent infections with oral herpes, bronchitis and pneumonia a er one month old.Physical examination revealed le sub-axillary lymphadenitis (Figure 1) and bilateral pulmonary rales, no rash and no hepatosplenomegaly were observed and failure to thrive (6000g at admission).Peripheral blood routine test showed: white blood cell counts 9.7 × 10 9 /L, lymphocytes differential 8%, hemoglobin and platelet were normal.C-reactive protein, procalcitonin, serum electrolytes, biochemical enzymes of organs, liver and renal function and coagulation function were normal.Chest radiographs showed bilateral infiltration pneumonia.Abdominal sonography was normal.Superficial sonography showed le sub-axillary lymph node enlargement and liquefaction.High-throughput sequencing on Bronchoalveolar Lavage Fluid (BALF) identified 697 sequences of Mycobacteruim tuberculosis complex and 95146 sequences of Pneumocystis jiroveci, respectively.