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Case Report

Sudan J Paed. 2021; 21(2): 195-199


Vitamin K deficiency-related late-onset haemorrhagic disease of a newborn with acute subdural haemorrhage: long-term outcome

Shameem Ahmed, Rabin Saikia, Surojit Majumdar, Puja Banerjee Barua, Jagritee Priyadarshinee, Siba Prosad Paul.


Abstract

Newborn infants who for any reason have not received vitamin K supplementation are at risk of major haemorrhagic complications including intracranial bleeding, due to vitamin K deficiency bleeding (VKDB). We describe a 5-month-old exclusively breastfed infant who presented with subdural haemorrhage following a fall from the mother’s lap and was found to have VKDB. The patient was lost to follow-up and was brought back at 8 years of age with global developmental delay, epilepsy and hemiparesis. Computed tomography scan showed left-sided encephalomalacia. Healthcare providers and the public should be aware of this preventable, acquired coagulopathy and its potential sequelae, and encourage the uptake of vitamin K at birth.

Key words: Vitamin K deficiency bleeding; Subdural haemorrhage; Long-term outcome; Epilepsy; Neuroimaging.






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