(Received 20 March 1987; accepted 7 April 1987)
Published Online: November
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The case of a 14-month-old child who died of caffeine toxicity is presented. The evidence for prolonged toxicity associated with inappropriate delay in the seeking of medical care and the presence of various recent and healing injuries are diagnostic of child abuse. Fatal caffeine toxicity and child abuse by drug/substance administration are uncommonly reported. Relevant medical literature is reviewed.
Deputy chief medical examiner, Vermont Office of Chief Medical Examiner, Burlington, VT
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