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Child maltreatment and neglect, or poverty and ignorance: An old case from the museum

机译:虐待和忽视儿童,或贫穷和无知:博物馆里的一个旧案

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摘要

We present an old case, from the year 1928, of a girl who, as an 18-month-old, had ingested a small amount of lye, and over time oesophageal stenosis had developed. However, her parents had not taken her to hospital until 4 months after the event, after an episode of bloody vomiting. She spent the remaining time of her life in the hospital, where she died as a 3-year-old. Her parents did not visit once during that time. After the autopsy, the opinion about the cause and mechanism of death had five steps: the immediate cause of death was purulent pneumonia, which was a complication of small pox and severe undernourishment; the severe undernourishment was the consequence of a narrowed part of the oesophagus; this developed due to the ingestion of the corrosive agent; and it remained uncertain whether the ingestion of the corrosive agent was accidental or homicidal in manner. The presented case could be an example of possible child maltreatment and neglect in rural parts of society, from almost 90 year ago; at the time these cases were not recognized and treated as they would be today. This is also an example of how the forensic pathologist, via the conclusion about the cause of death, highlighted the parents' carelessness and neglect of the child.
机译:我们介绍了一个旧病例,从1928年开始,一个18岁的女孩摄入少量的碱液,随着时间的流逝,食管狭窄逐渐发展。但是,她的父母直到事件发生后的四个月才流血呕吐,才将她送往医院。她一生的余生都在医院度过,当时她仅3岁就去世了。她的父母在那段时间没有去过一次。尸检后,关于死亡原因和机制的意见分为五个步骤:直接的死亡原因是化脓性肺炎,这是小痘和严重营养不良的并发症。严重的食物不足是食道狭窄的结果。这是由于摄入了腐蚀剂引起的;仍不确定摄入腐蚀剂是偶然的还是杀人的。从近90年前开始,本案例可能是社会农村地区可能存在的虐待儿童和忽视儿童的例子;当时这些案件没有得到承认和对待,就像今天一样。这也是法医病理学家如何通过关于死亡原因的结论来强调父母对孩子的粗心和疏忽的一个例子。

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