Vitamin K Deficiency Presenting in an Infant with an Anterior Mediastinal Mass: A Case Report and Review of the Literature

We report a case of a 1-month-old infant with spontaneous thymic hemorrhage secondary to severe vitamin K deficiency. He was brought to medical attention due to scrotal bruising and during evaluation was noted to be tachypneic and hypoxemic. Chest X-ray revealed an enlarged cardiothymic silhouette,...

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Main Authors: Mauricio A. Palau, Amanda Winters, Xiayuan Liang, Rachelle Nuss, Susan Niermeyer, Megan Gossling, Clyde Wright
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2017/7628946
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author Mauricio A. Palau
Amanda Winters
Xiayuan Liang
Rachelle Nuss
Susan Niermeyer
Megan Gossling
Clyde Wright
author_facet Mauricio A. Palau
Amanda Winters
Xiayuan Liang
Rachelle Nuss
Susan Niermeyer
Megan Gossling
Clyde Wright
author_sort Mauricio A. Palau
collection DOAJ
description We report a case of a 1-month-old infant with spontaneous thymic hemorrhage secondary to severe vitamin K deficiency. He was brought to medical attention due to scrotal bruising and during evaluation was noted to be tachypneic and hypoxemic. Chest X-ray revealed an enlarged cardiothymic silhouette, and a follow-up echocardiogram revealed a mass in the anterior mediastinum. Routine laboratory work-up revealed severe coagulopathy. Further questioning revealed the patient had not received prophylactic vitamin K at birth. The coagulopathy resolved with administration of vitamin K, and a biopsy confirmed the anterior mediastinal mass was due to spontaneous thymic hemorrhage.
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issn 2090-6803
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language English
publishDate 2017-01-01
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series Case Reports in Pediatrics
spelling doaj-art-2f3124924ce346d79680f9d0d1d03f8d2025-02-03T01:22:24ZengWileyCase Reports in Pediatrics2090-68032090-68112017-01-01201710.1155/2017/76289467628946Vitamin K Deficiency Presenting in an Infant with an Anterior Mediastinal Mass: A Case Report and Review of the LiteratureMauricio A. Palau0Amanda Winters1Xiayuan Liang2Rachelle Nuss3Susan Niermeyer4Megan Gossling5Clyde Wright6School of Medicine, University of Colorado, Boulder, CO, USASchool of Medicine, University of Colorado, Boulder, CO, USASchool of Medicine, University of Colorado, Boulder, CO, USASchool of Medicine, University of Colorado, Boulder, CO, USASchool of Medicine, University of Colorado, Boulder, CO, USASchool of Medicine, University of Colorado, Boulder, CO, USASchool of Medicine, University of Colorado, Boulder, CO, USAWe report a case of a 1-month-old infant with spontaneous thymic hemorrhage secondary to severe vitamin K deficiency. He was brought to medical attention due to scrotal bruising and during evaluation was noted to be tachypneic and hypoxemic. Chest X-ray revealed an enlarged cardiothymic silhouette, and a follow-up echocardiogram revealed a mass in the anterior mediastinum. Routine laboratory work-up revealed severe coagulopathy. Further questioning revealed the patient had not received prophylactic vitamin K at birth. The coagulopathy resolved with administration of vitamin K, and a biopsy confirmed the anterior mediastinal mass was due to spontaneous thymic hemorrhage.http://dx.doi.org/10.1155/2017/7628946
spellingShingle Mauricio A. Palau
Amanda Winters
Xiayuan Liang
Rachelle Nuss
Susan Niermeyer
Megan Gossling
Clyde Wright
Vitamin K Deficiency Presenting in an Infant with an Anterior Mediastinal Mass: A Case Report and Review of the Literature
Case Reports in Pediatrics
title Vitamin K Deficiency Presenting in an Infant with an Anterior Mediastinal Mass: A Case Report and Review of the Literature
title_full Vitamin K Deficiency Presenting in an Infant with an Anterior Mediastinal Mass: A Case Report and Review of the Literature
title_fullStr Vitamin K Deficiency Presenting in an Infant with an Anterior Mediastinal Mass: A Case Report and Review of the Literature
title_full_unstemmed Vitamin K Deficiency Presenting in an Infant with an Anterior Mediastinal Mass: A Case Report and Review of the Literature
title_short Vitamin K Deficiency Presenting in an Infant with an Anterior Mediastinal Mass: A Case Report and Review of the Literature
title_sort vitamin k deficiency presenting in an infant with an anterior mediastinal mass a case report and review of the literature
url http://dx.doi.org/10.1155/2017/7628946
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