Non-accidental Trauma Masquerading As Feeding Intolerance in a Six-Month-Old Female

A six-month-old girl presented with feeding intolerance, fever, and left leg swelling. Imaging revealed a proximal left intertrochanteric fracture, along with rib and tibia fractures, raising concerns for non-accidental trauma. Blood cultures confirmed bacteremia caused by ceftriaxone-resistant <i>Serratia marcescens</i>, necessitating a 10-day course of antibiotics. The patient was immobilized with a hip spica cast, and metabolic and genetic evaluations were negative. She was discharged with instructions for follow-up care. This case highlights the importance of thorough evaluation for non-accidental trauma in infants presenting with unexplained fractures and systemic infections.