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一名6个月大女婴中伪装成喂养不耐受的非意外性创伤

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

作者信息

Garcia Rafael A, Torres Orlando

机构信息

Surgery, Ponce Health Sciences University, Ponce, PRI.

Pediatric Neurology, Ponce Health Sciences University, Ponce, PRI.

出版信息

Cureus. 2024 Oct 31;16(10):e72788. doi: 10.7759/cureus.72788. eCollection 2024 Oct.

DOI:10.7759/cureus.72788
PMID:39618561
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11608100/
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 , 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.

摘要

一名六个月大的女童出现喂养不耐受、发热和左腿肿胀症状。影像学检查显示左股骨转子间近端骨折，同时伴有肋骨和胫骨骨折，这引发了对非意外性创伤的担忧。血培养证实为由耐头孢曲松菌引起的菌血症，需要进行为期10天的抗生素治疗。患者用髋人字石膏固定，代谢和基因评估结果均为阴性。她出院时得到了后续护理的指示。该病例凸显了对出现不明原因骨折和全身感染的婴儿进行非意外性创伤全面评估的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9bb/11608100/443684c97e7b/cureus-0016-00000072788-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9bb/11608100/ba98fbe87170/cureus-0016-00000072788-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9bb/11608100/443684c97e7b/cureus-0016-00000072788-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9bb/11608100/ba98fbe87170/cureus-0016-00000072788-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9bb/11608100/443684c97e7b/cureus-0016-00000072788-i02.jpg

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本文引用的文献

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Abuse of Girls During Childhood and Its Impacts on the Health of Their Adult Lives: A Systematic Review.童年期女童虐待及其对成年后健康的影响：一项系统综述
Cureus. 2023 Feb 14;15(2):e34981. doi: 10.7759/cureus.34981. eCollection 2023 Feb.
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