# A Rare Case of a Subgaleal Hematoma With Global Developmental Delay, Scurvy, and Congenital Toxoplasmosis, Rubella, Cytomegalovirus, Herpes Simplex, and HIV (TORCH) Infection

## TL;DR

A six-year-old girl with multiple health issues including a rare subgaleal hematoma and TORCH infection is reported, emphasizing the need for multidisciplinary care.

## Contribution

This case report highlights the rare co-occurrence of subgaleal hematoma, TORCH infection, and scurvy in a child with developmental delay.

## Key findings

- The patient exhibited global developmental delay, scurvy, and TORCH infection.
- Interdisciplinary care resolved the subgaleal hematoma and identified cerebral atrophy and ventricular dilatation.
- The case illustrates the importance of multidisciplinary approaches in complex pediatric conditions.

## Abstract

This case report details the complex presentation of a six-year-old female child with global developmental delay (GDD), scurvy, congenital toxoplasmosis, rubella, cytomegalovirus, herpes simplex, and HIV (TORCH) infection and a subgaleal hematoma. The patient's medical history included delayed developmental milestones, bilateral congenital cataract, and a previous generalized tonic-clonic seizure. Thorough investigations revealed cerebral atrophy, bilateral ventricular dilatation, and periosteal thinning consistent with scurvy. The interdisciplinary approach involving neurology, ophthalmology, and orthopedics resolved the subgaleal hematoma. This case underscores the intricate interplay of neurological, nutritional, and infectious factors in pediatric conditions and highlights the importance of a collaborative, multidisciplinary approach for accurate diagnosis and effective management.