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Background <p>The diagnosis of abusive head trauma (AHT) by shaking requires the exclusion of relevant differential diagnoses. A&#xa0;private pediatric expert repeatedly cited SARS-CoV‑2 infections and rotavirus infections as the cause of subdural hematoma/hygroma (SDH/SDHy) and retinal hemorrhages (RB).</p> Objective <p>This article examines SARS-CoV‑2 infections, the consequences of intrauterine SARS-CoV‑2 infections as well as rotavirus infections as possible differential diagnoses of AHT by shaking.</p> Material and methods <p>A&#xa0;selective literature search was conducted with particular attention to the publications cited in the private expert reports.</p> Results <p>A&#xa0;causal relationship or association between SARS-CoV‑2 infections or rotavirus infections and the occurrence of SDH/SDHy or RB was not found.</p> Conclusion <p>Intrauterine or existing SARS-CoV‑2 infections or rotavirus infections do not constitute valid differential diagnoses of AHT by shaking.</p>

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SARS-CoV-2- und Rotavirus-Infektionen sind keine Differentialdiagnosen des Schütteltraumas

  • 期刊论文

  • 发表日期：

    2026年7月23日

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  • S. Schlepper,
  • D. Wittschieber,
  • B. Karger

摘要

Background

The diagnosis of abusive head trauma (AHT) by shaking requires the exclusion of relevant differential diagnoses. A private pediatric expert repeatedly cited SARS-CoV‑2 infections and rotavirus infections as the cause of subdural hematoma/hygroma (SDH/SDHy) and retinal hemorrhages (RB).

Objective

This article examines SARS-CoV‑2 infections, the consequences of intrauterine SARS-CoV‑2 infections as well as rotavirus infections as possible differential diagnoses of AHT by shaking.

Material and methods

A selective literature search was conducted with particular attention to the publications cited in the private expert reports.

Results

A causal relationship or association between SARS-CoV‑2 infections or rotavirus infections and the occurrence of SDH/SDHy or RB was not found.

Conclusion

Intrauterine or existing SARS-CoV‑2 infections or rotavirus infections do not constitute valid differential diagnoses of AHT by shaking.