From the Department of Emergency Medicine, New York University School of Medicine, New York, NY.
Division of Pediatric Emergency Medicine.
Pediatr Emerg Care. 2020 Jul;36(7):e397-e398. doi: 10.1097/PEC.0000000000002159.
Abusive suffocation with foreign bodies is an uncommon form of child abuse. We present the case of a 2-month-old infant with colic who was forcibly suffocated with a baby wipe by a female babysitter. He presented to the emergency department in respiratory distress, and the foreign body was removed in the operating room by otorhinolaryngology. He was found to have intraoral lacerations and a left diaphyseal humeral fracture. To our knowledge, there is only 1 other collection of case reports of abusive suffocation with baby wipes. This case highlights the importance of considering abuse in cases of oral injury and foreign body aspiration in pediatric patients.
虐待性异物窒息是一种罕见的儿童虐待形式。我们报告了一例 2 个月大的绞痛婴儿，被女保姆用婴儿湿巾强行捂住口鼻。他因呼吸窘迫到急诊就诊，耳鼻喉科在手术室将异物取出。他被发现口腔有撕裂伤和左侧肱骨干骨折。据我们所知，仅有另外 1 组病例报告提到了婴儿湿巾引起的虐待性异物窒息。本病例强调了在儿科患者口腔损伤和异物吸入的情况下考虑虐待的重要性。
