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 , 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.
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http://dx.doi.org/10.7759/cureus.72788 | DOI Listing |
Front Vet Sci
December 2024
Department of Applied Animal Science and Welfare, Swedish University of Agricultural Sciences, Uppsala, Sweden.
Research has established a link between animal abuse and domestic violence (the Link), where the perpetrator uses the animal to control the human victim. Veterinarians are exposed to both vulnerable animals and humans, playing a crucial role in detecting and handling these cases. A study using an online survey was conducted in 2019, exploring the awareness of Swedish veterinarians regarding Non-accidental-injuries (NAI in animals, the Link between animal abuse and domestic violence and how to handle such cases.
View Article and Find Full Text PDFJ Pediatr Surg
December 2024
University of Colorado School of Medicine, 13001 E. 17th Pl., Aurora, CO 80045, USA; Children's Hospital Colorado, 13123 E. 16th Ave., Aurora, CO 80045, USA.
Background: Traumatic injuries remain the leading cause of death in children aged 1-14. Previous research demonstrates a link between lower socioeconomic status (SES) and higher pediatric injury morbidity and mortality. There is scant research exploring the relationship between neighborhood disadvantage and pediatric trauma.
View Article and Find Full Text PDFJ Pediatr Surg
December 2024
Department of Surgery, New Haven, CT 06510, USA; Yale University School of Medicine, New Haven, CT 06510, USA.
Background: The Pediatric Emergency Care Applied Research Network (PECARN) guidelines provide an algorithm to select patients with mild head trauma at highest risk for clinically important traumatic brain injury (ciTBI) in whom computed tomography (CT) would facilitate management. Failure to follow PECARN criteria exposes children to unnecessary radiation and contributes to increasing hospital costs, length of stay, and parental anxiety. We sought to evaluate the subsequent allocation of resources to low and intermediate risk group patients who underwent an initial Head CT - which was not indicated by PECARN guidelines but which identified cranial or intracranial injury.
View Article and Find Full Text PDFChilds Nerv Syst
December 2024
Department of Neurosurgery, Children's Hospital Colorado, Aurora, CO, USA.
Objective: Subdural fluid collection is a common neurosurgical condition in the pediatric population. Patients requiring surgical intervention have historically been managed with subdural drains, subdural-subgaleal shunting, subdural-peritoneal shunting, and mini-craniotomies. An alternative procedure for patients with an open anterior fontanelle is bedside transfontanelle drainage.
View Article and Find Full Text PDFEye (Lond)
December 2024
Department of Ophthalmology, University of Washington, Seattle, WA, USA.
Objective: To examine associations between socioeconomic status (SES), as evaluated by the Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry Social Vulnerability Index (SVI) and Distressed Communities Index (DCI), and the characteristics of open globe injury (OGI).
Subjects/methods: Retrospective review of electronic medical records for patients treated for OGI at an academic Level I trauma centre between May 2009 and March 2021. Patient data included age, date of injury, mechanism of injury, visual acuity at presentation, concomitant orbital wall fracture, and ocular trauma score (OTS).
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