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Things Are Not Always What They Seem: Two Cases of Child Maltreatment Presenting With Common Pediatric Chief Complaints
- Source :
- Pediatric emergency care. 35(6)
- Publication Year :
- 2018
-
Abstract
- We describe 2 cases of child maltreatment who presented as common pediatric conditions: preseptal cellulitis and gastroenteritis. The first case is an 8-year-old girl who presented with progressive right eye pain, swelling, and discharge. She was initially treated for preseptal cellulitis, but eye cultures ultimately grew Neisseria gonorrhoeae. Further investigation revealed sexual abuse by a male family member. The second case is a 2-year-old previously healthy girl who presented with 6 hours of emesis, lethargy, and abdominal pain. Initially attributed to viral gastroenteritis, her serum blood urea nitrogen and creatinine were above what was expected for her clinical course, and she later developed signs of peritonitis. She was ultimately found to have a large bladder wall defect secondary to inflicted blunt abdominal trauma. These cases are presented to emphasize the need for pediatricians to consider child abuse even when patients present with common pediatric complaints.
- Subjects :
- Child abuse
Abdominal pain
Pediatrics
medicine.medical_specialty
media_common.quotation_subject
Peritonitis
Eye
Wounds, Nonpenetrating
03 medical and health sciences
Lethargy
Gonorrhea
0302 clinical medicine
Blunt
030225 pediatrics
Medicine
Humans
030212 general & internal medicine
Girl
Child Abuse
Child
media_common
business.industry
Cellulitis
General Medicine
medicine.disease
Neisseria gonorrhoeae
Anti-Bacterial Agents
Gastroenteritis
Treatment Outcome
Sexual abuse
Abdominal trauma
Child, Preschool
Pediatrics, Perinatology and Child Health
Emergency Medicine
Female
medicine.symptom
business
Emergency Service, Hospital
Subjects
Details
- ISSN :
- 15351815
- Volume :
- 35
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Pediatric emergency care
- Accession number :
- edsair.doi.dedup.....acf9dea451e2dc6600df70daf77c3770