ODESSA, Texas (AP) — A 3-year-old boy whose death fueled a fight over American adoptions of Russian children was brought into a West Texas hospital unresponsive and bruised on several parts of his body, a medical examiner’s investigator said Tuesday.

Russian authorities have blamed the Jan. 21 death of Max Alan Shatto on “inhuman treatment” at the hands of the American family that adopted him. The boy was identified by the Russians as Maxim Kuzmin. Authorities in West Texas continue to investigate the case, and an autopsy is pending.