Bite marks of child abuse - Suspected Child Abuse
Common locations for bite marks are on "fleshy" body parts (thighs, buttocks, cheeks), but they can occur anywhere on the body. They have been reported as a form of sexual as well as physical abuse. Bite marks have been documented on both pediatric male and female genitalia but are more commonly found in males.
A human bite typically causes less tissue destruction than that from an animal but has greater potential for infection. Aerobic and anaerobic bacteria commonly colonize the mouth such as Staphylococcus, Streptococcus, and Clostridium. Bite infections are typically polymicrobial.
Childhood physical and sexual abuse is a problem of epidemic proportions affecting children of all ages and economic and cultural backgrounds. Approximately 3.9 million cases of child abuse were investigated in 2020, with victims of substantiated cases numbering approximately 618 000. Although awareness is increasing, it is often challenging to differentiate findings attributable to child abuse from those of other benign skin conditions.
T76.12XA – Child physical abuse, suspected, initial encounter
Y04.1XXA – Assault by human bite, initial encounter
262555007 – Human bite - wound
371779005 – Physical child abuse
Differential Diagnosis & Pitfalls