Kymberli Bowden, 45, now faces first-degree murder in the starvation death of her 13-year-old daughter.
The North Carolina mother was hit with the upgraded charge Thursday after an autopsy determined the girl, identified only as ZT, died from acute necrotizing pneumonia and inanition — severe malnutrition and physical wasting. The child’s body was discovered in Bowden’s High Point home on Oct. 14, roughly two days after she had already died, authorities said.

In court, prosecutors described ZT’s body as “skinny” and “small,” noting that recent medical records showed the teen normally weighed between 63 to 65 pounds. The prosecution detailed the child’s condition to FOX 8 News: “The medical examiner described ZT as extremely emaciated. Her hair was matted, dulled and dirty. Her ears were dirty. Her face was gaunt, and the areas around her eyes were sunken.”
At the time of death, the girl weighed only about 35 pounds.
Patrol officers had been called to Bowden’s home after family members reported they had not seen ZT in months. Inside, police found the home filled with trash and rotten food. They also discovered ZT’s 13-year-old twin brother, who was still alive but had been denied proper nutrition, clothing, and sanitary living conditions, according to a warrant obtained by The News Observer.
The boy survived but has suffered “serious” psychological harm, authorities said.
High Point Police Department call logs revealed that concerned neighbors had previously asked officers to check on the children in the home, FOX 8 News reported. The frequency of those calls was not detailed in available reports.
Bowden was immediately arrested last October and charged with two counts of felony child abuse and concealing a death. The murder charge was delayed until recent days as authorities awaited the final autopsy results to establish cause of death.
The case has drawn attention to the months of apparent isolation that preceded ZT’s death. Family members’ statements to police indicated they had been unable to see the girl for an extended period before her body was found, raising questions about how long the children had been cut off from outside contact.
The twin brother’s rescue came only because family members pushed for a welfare check. His current placement and condition have not been publicly disclosed beyond the documented psychological trauma.
Bowden could face life in prison on the murder charge. The additional felony child abuse and concealment charges carry substantial penalties that would run consecutive to any murder sentence if she is convicted.
The High Point home’s conditions — described in police reports as overrun with trash and decaying food — suggest prolonged neglect that extended beyond the children’s physical deprivation to their basic environmental safety.
The gap between ZT’s documented weight of 63 to 65 pounds in recent medical records and her 35-pound corpse indicates a rapid and catastrophic decline, though prosecutors have not specified a precise timeline for when the severe starvation began.
Bowden’s case now moves forward with the first-degree murder charge as the lead count.

