Vitamin K deficiency bleeding (VKDB) is an uncommon and life-threatening bleeding condition in infancy. This study aimed to present a case of bleeding due to vitamin K deficiency in neonates. A 7-day-old male infant presented to an emergency department (ED) following bleeding from an umbilical stump for 3 hours upon arrival at the hospital. On examination of the general condition, the patient is in good health, responsive, conscious and active tonus. Physical examination revealed there were no petechiae, purpura, or ecchymoses. On the abdomen region, there was minimal bleeding in an umbilical area with periumbilical hemorrhagic crusting. Intense palpation revealed mild tenderness near the periumbilical area. When the umbilical area was palpated deeply, a thin, watery blood fluid oozed out. The results of routine blood laboratory examinations showed within normal limits (Hb 12 g/dL, leukocytes 6.9x103/μL, and platelets 150x10³/μL). This patient was diagnosed with bleeding due to vitamin K deficiency. The management given is in the form of a subcutaneous injection of vitamin K 10 mg for 3 days. After administration of the third injection, the patient's condition improves, and the umbilical hemorrhage subsides.
Background: Pneumonia is one of the top causes of morbidity in children younger than 5 years old. In Indonesia, pneumonia was the second leading cause of death in children under five years in 2017. The most important risk factors for pneumonia in children are malnutrition, household air pollution, non-exclusive breastfeeding, low birth weight (2500 g), overcrowding (≥ 7 or more person in the same household), and lack of measles immunization. This study aimed to determine the relationship between nutritional status and pneumonia in under-five children in Sadewa Maternal and Child Hospital, Yogyakarta, Indonesia. Methods: Analytical observational studies with a cross-sectional approach. A total of 191 subjects took part in the study. Observations of the nutritional status and degree of pneumonia were carried out in this study. Univariate and bivariate data analysis was carried out with the help of SPSS version 25 software. Results: The majority of study subjects with pneumonia had normal nutritional status. Meanwhile, study subjects with severe pneumonia conditions had malnutrition nutritional status. The results showed that nutritional status was associated with pneumonia, with a p-value of < 0.05. Conclusion: There is a relationship between nutritional status and the severity level of pneumonia in children under five years old in Sadewa Maternal and Child Hospital, Yogyakarta, Indonesia.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.