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Death of a 6-Year-Old Boy with Mental Retardation: Accident Versus Child Abuse

NCJ Number
241252
Journal
Journal of Forensic Sciences Volume: 57 Issue: 4 Dated: July 2012 Pages: 1124-1128
Author(s)
Mary Dudley, M.D., M.S., R.N.; BreAnna M. Chapman, B.S.
Date Published
July 2012
Length
5 pages
Annotation
This case study involved death of a 6-year-old child with a history of mental retardation secondary to meningitis at 11 months, spastic quadriplegia, seizure disorder, and hydrocephaly with a remote ventriculoperitoneal shunt placement and gastric tube feedings.
Abstract
This case study involved death of a 6-year-old child with a history of mental retardation secondary to meningitis at 11 months, spastic quadriplegia, seizure disorder, and hydrocephaly with a remote ventriculoperitoneal shunt placement and gastric tube feedings. Reportedly, the child was co-sleeping with his mother when she awoke and discovered him lying prone and not breathing on the carpeted floor next to the bed. He was transported to the hospital and died in the emergency room of unknown causes. The medical examiner assumed jurisdiction of the body. The external examination revealed petechial hemorrhages on the neck and face, with patterned linear pressure abrasions on the chest, arms, and face. X-rays revealed leg fractures of different ages. This case emphasizes the importance of coordination of death scene investigation, medical history review, and autopsy results through a forensic team approach to determine the accurate cause and manner of death. Abstract published by arrangement with John Wiley & Sons.