Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie
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Acute mediastinitis is uncommon. When it occurs, it usually follows an esophageal perforation or thoracic surgery. ⋯ We report on a case of a ten-year-old girl with non traumatic mediastinitis secondary to a pleuro-pulmonary infection due to Klebsiella pneumoniae.
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According to several recent surveys, around 50% of the deaths occurring nowadays in French neonatal intensive care units result from a medical decision. This has led French neonatologists to set up guidelines for end-of-life decisions and practice in the perinatal period, which are presented in this paper. It covers definitions, clinical situations, ethical principles, obligations of the medical and nursing staff.