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Non-accidental Trauma Masquerading As Feeding Intolerance in a Six-Month-Old Female
Rafael A Garcia1, Orlando Torres2
1Surgery, Ponce Health Sciences University, Ponce, PRI.
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.
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