Recent preventive archaeological excavations carried out in the courtyard of a local school in the village of Nufăru have led to the documentation of a Middle Byzantine inhumation cemetery comprising 191 funerary complexes. Among the individual burials, which are exclusive within the cemetery, our attention was drawn to a multiple burial containing the skeletal remains of three individuals: two adult females (a young adult ‑ approximately 34.6 years old, and a middle adult – approximately 43.3 years old) framing the skeleton of a subadult. The skeletal remains of the subadult belong to a child of approximately 10.0 years old. Beyond the issues raised by this less common practice in the Dobrudja funerary archaeology landscape regarding burial rituals, determining the cause of death for these three individuals becomes essential for the anthropologist. In the case of the middle adult, death most likely occurred due to a blow inflicted with a sharp object, such as a sword, in the cervical region. However, the situation is not as clear regarding the other two deceased individuals. Several atypical pathognomonic manifestations (hypervascularization and resorptive lesions on the bodies of all vertebrae, except for the cervical ones) observed in the child’s skeleton seem to indicate an infection with one of the species of the Mycobacterium tuberculosis complex. These macroscopically observed changes need to be confirmed by genetic analyses. As for the cause of death of the young adult, it remains a mystery despite numerous osteological (cribra orbitalia, osteoarthritis, spinal disc herniation, periostitis, vertebral compression fracture, osteomas, osteochondritis dissecans) and dental (caries, dental calculus, dental enamel hypoplasia, ante‑mortem tooth loss, congenital absences) pathological changes noted. Other pathological manifestations identified in the case of the middle adult include: cribra orbitalia, caries, dental calculus, dental abscesses, ante‑mortem tooth loss, congenital absences, osteoarthritis, spinal disc herniation, periostitis, Colles’ fracture, and osteochondritis dissecans. In the case of the child, cribra orbitalia, caries, dental calculus, and periostitis were also observed.
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