Work

Non-accidental Trauma Masquerading As Feeding Intolerance in a Six-Month-Old Female

Year: 2024

Type: article

Abstract: A six-month-old girl presented with feeding intolerance, fever, and left leg swelling. Imaging revealed a proximal left intertrochanteric fracture, along with rib and tibia fractures, raising concerns for non-accidental trauma. Blood cultures confirmed bacteremia caused by ceftriaxone-resistant Serratia marcescens, necessitating a 10-day course of antibiotics. The patient was immobilized with a hip spica cast, and metabolic and genetic evaluations were negative. She was discharged with instructions for follow-up care. This case highlights the importance of thorough evaluation for non-accidental trauma in infants presenting with unexplained fractures and systemic infections.

Source: Cureus

DOI: 10.7759/cureus.72788

Authors: Rafael A Garcia, Orlando Torres

Institution: Ponce Health Sciences University

Language: English

Topic: Child Abuse and Related Trauma

Subfield: Pediatrics, Perinatology and Child Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4403926419