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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Format: | Article |
Language: | English |
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Wiley
2017-01-01
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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. |
format | Article |
id | doaj-art-2f3124924ce346d79680f9d0d1d03f8d |
institution | Kabale University |
issn | 2090-6803 2090-6811 |
language | English |
publishDate | 2017-01-01 |
publisher | Wiley |
record_format | Article |
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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