Intracranial haemorrhage complicating infection in infant masquerading as non-accidental injury- a case series

Chng, Kay Ly and Mussadik, Umul Khairil Fatimah and Subramaniam, Kunasilan and Zainun, Khairul Anuar (2022) Intracranial haemorrhage complicating infection in infant masquerading as non-accidental injury- a case series. The Malaysian Journal of Pathology, 44 (1). pp. 111-114. ISSN 0126-8635

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Abstract

Introduction: The death of a ‘healthy’ child in a carer’s house is always suspicious until proven otherwise. There is a high burden of responsibilities for a Forensic Pathologist to analyse the case from different perspectives before reaching a reasonable conclusion. Case series: We report a case of acute Subdural Haemorrhage (SDH) complicating lung infection and a case of subarachnoid haemorrhage (SAH) complicating multi-organism infection with possible concomitant liver disease. Both the infants were brought-in-dead to the hospital from the carer’s house. There were no findings suggesting trauma. Conclusion: Acute Intracranial Haemorrhage (ICH) especially SDH has often been associated with inflicted head injury. Though the nontraumatic or “spontaneous” acute ICH is rare, it does exist due to multiple factors. Both the cases illustrated portrayed that the significance of the ICH has to be determined based on the autopsy findings as well as analysing the case holistically before arriving at the conclusion. Misdiagnosis of such uncommon complications could result in a catastrophic outcome.

Item Type:	Article (Journal)
Uncontrolled Keywords:	Intracranial Haemorrhage; Infection; Nontraumatic Subdural Haemorrhage; Subarachnoid Haemorrhage, case report
Subjects:	R Medicine > R Medicine (General) R Medicine > RB Pathology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine
Depositing User:	Dr Kay Ly Chng
Date Deposited:	24 May 2022 12:58
Last Modified:	24 May 2022 15:10
URI:	http://irep.iium.edu.my/id/eprint/98017

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