Case report: Neonate with stridor and subcutaneous emphysema as the only signs of physical abuse

Abstract

A stridulous, dysphonic cry with no external signs of trauma is a unique and abstract unusual presenting sign for physical abuse. We report a previously healthy neonate with unremarkable birth history and medical history who presented with stridor and hypopharyngeal perforation due to physical abuse. This case highlights the need for further evaluation for traumatic injuries in the setting of unexplained new-onset stridor and consideration of physical abuse in the differential diagnosis.