Abstract
More child abuse cases are reported in Peru every year; however, there is no official report that describes the actual incidence, especially of the most vulnerable population such as infants. Signs of physical abuse generally involve brain injury and constitute shaken baby syndrome or pediatric abusive head trauma, which is a challenging diagnostic challenge. A 3-month-old infant is admitted to the emergency room for 30-minute generalized tonic-clonic seizures. On physical examination, the presence of a bony callus on the right clavicle was striking. A brain tomography and magnetic resonance imaging were performed, showing hyperintense lesions in the white matter, non-contrast enhancers, limited diffusion, and a bilateral subdural collection. Together, a bone survey was taken, which revealed multiple fractures in different areas of the body and suspecting the case of child abuse, so the relevant authorities (medical and judicial) were notified. Currently, the infant is in the custody of the Child Protection Unit, pending the definition of her final custody.
Highlights
Every year more cases of child abuse are reported in Peru, there is no official report describing the real incidence, especially of the most vulnerable population such as infants
The infant is in the custody of the Child Protection Unit pending the definition of final custody
Indexado en: INSTITUTO DE INVESTIGACIÓNES EN CIENCIAS BIOMÉDICAS https://alicia.concytec.gob.pe/vufind/
Summary
Cada año se informan más casos de maltrato infantil en el Perú, sin embargo, no hay un reporte oficial que describa la incidencia real, en especial de la población más vulnerable como son los lactantes. Los signos de abuso físico generalmente implican lesiones cerebrales y constituyen el síndrome del bebé sacudido o traumatismo craneal abusivo pediátrico, que representa todo un desafío diagnóstico. Lactante de tres meses ingresa a emergencia por convulsiones tónico clónicas generalizadas de 30 minutos de duración. Ante la sospecha de un caso de maltrato infantil, se comunicó a las autoridades pertinentes (médicas y judiciales). La lactante se encuentra bajo custodia de la Unidad de Protección al Menor a la espera de la definición de su custodia final. Palabras clave: Maltrato infantil; Síndrome del bebé sacudido; Traumatismo craneal abusivo pediátrico (fuente: DeCS BIREME)
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