Fatal Intramuscular Bleeding Misdiagnosed as Suspected Nonaccidental Injury

PEDIATRICS ◽  
1995 ◽  
Vol 95 (5) ◽  
pp. 771-773
Author(s):  
Randall C. Wetzel ◽  
Anthony J. Slater ◽  
George J. Dover

The syndromes of child abuse or non-accidental injury (NAI) are readily recognized. The frequency of NAI requires that it be considered in any child who has been, or appears to have been, traumatized. Nevertheless, great care must be exercised to avoid the parental anxiety and stress that may result from the mistaken diagnosis of child abuse.1 Many conditions mimic NAI, and even well-described ones may be overlooked due to their present rarity. CASE REPORT This 10-week-old female infant was comatose, hypotensive, with poorly perfused extremities, and had received cardiopulmonary, resuscitation (CPR). She was the first-born child of a 24-year-old Hispanic mother and a 32-year-old Jewish father.

2009 ◽  
Vol 39 (5) ◽  
pp. 461-470 ◽  
Author(s):  
Amaka Offiah ◽  
Rick R. van Rijn ◽  
Jeanette Mercedes Perez-Rossello ◽  
Paul K. Kleinman

1998 ◽  
Vol 38 (2) ◽  
pp. 173-176
Author(s):  
G L Campbell-Hewson ◽  
A D'Amore ◽  
A Busuttil

A case of non-accidental injury to an infant caused by the discharge of an air pistol is presented, the first such case to be reported. A two-month-old baby was shot at close range by his father with a ***.177 air pistol. A false account of the cause of the injury was given by the father and initially supported by the mother. The pellet penetrated the skin in the centre of the child's forehead and lodged in the anterior wall of the sagittal sinus. It was removed under general anaesthetic and the child made an uncomplicated recovery. The father was subsequently convicted and jailed for the assault. The relevant literature on air weapon injuries and bizarre forms of child abuse is discussed.


2020 ◽  
Vol 25 (2) ◽  
Author(s):  
Joanna Zemlik ◽  
Beata Godowska

Introduction. Post-traumatic injuries are significant problems of paedodontic dentistry that parents with children urgently report to dental practice. Aim. The aim of the study is to indicate the necessity of maintaining the victimological awareness of the dental team in assessing injuries of deciduous and permanent teeth in terms of differentiating accidental and non-accidental injuries. Material and methods. The publications in the PubMed scientific database were reviewed by applying the search criteria for the following keywords in Polish and English: “non-accidental injury”, “children and youth”, “perpetrator of abuse”, “phenomenon identification”, “interview and clinical examination”. Results. Interview and clinical examination are among the basic diagnostic tools for correct diagnosis, which results in the implementation of proper therapeutic management in a child after an injury. This also an opportunity to observe disturbing behavior of children that may indicate abuse. Regardless of the provided information, the subject examination is verifying the compliance of an interview with post-traumatic injuries arising in a simple physical mechanism – the greater the energy, the greater destruction. This will provide relevant information that verifies the compliance of the interview with the clinical examination, thanks to the reliable victimological knowledge of the dentist, results in the correct diagnosis, implementation of appropriate treatment, and child abuse intervention. Conclusions. The likelihood of a child’s non-accidental injury requires medical professionals to take decisive action to protect the child from the effects of physical violence in particular during the COVID-19 pandemic, in which minors forced by the external situation spend more time with perpetrators of abuse, they are more exposed to harm. Victimology education and an appropriate response to child abuse will allow for effective intervention regarding both the therapeutic process and measures to prevent further harm to children.


2009 ◽  
Vol 29 (8) ◽  
pp. 865-867 ◽  
Author(s):  
Jeffrey R. Sawyer ◽  
Mukesh Kapoor ◽  
Mark H. Gonzales ◽  
William C. Warner ◽  
S. Terry Canale ◽  
...  

1982 ◽  
Vol 22 (1) ◽  
pp. 31-34 ◽  
Author(s):  
Ian Wilkey ◽  
John Pearn ◽  
Gwynneth Petrie ◽  
James Nixon

A total population study of neonaticide, infanticide and child homicide is reported. There are seven defineable syndromes of unlawful child killing which include: neonaticide, infanticide, non-accidental injury, the deprivation-starvation syndrome, euthanasia, killing of family members followed by the suicide of the killer, and child murder. 49 such cases are reported from a base population of 2 million people, over a 10-year period of investigation. The syndromes of neonaticide and non-accidental injury each contribute some 20 per cent of cases in the full spectrum of unlawful child killing. 18 cases of fatal non-accidental injury were reported over this time. With modern crisis intervention facilities, standard hospital rules for the management of acute cases of non-accidental injury, and co-ordinated child abuse centres, approximately 2 per cent only of non-accidental injury cases should come to a fatal conclusion.


BMJ ◽  
1989 ◽  
Vol 298 (6677) ◽  
pp. 879-881 ◽  
Author(s):  
N. Speight

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