Four people from the same family, including two children, have died since the two-story house where they lived in Naples collapsed on Sunday morning, according to the local rescue service.
A six-year-old boy and a four-year-old girl were found dead in the rubble along with their mother and grandmother.
The father and a two-year-old were found alive and are being treated in hospital. The father is said to have serious injuries.
Over 60 volunteers have participated in the rescue work. The cause of the collapse may have been a gas explosion, according to reports.