vitamin-k-1 and Gastrointestinal-Hemorrhage

The incidence of early-onset vitamin K deficiency bleeding (VKDB) in at-risk neonates who did not receive vitamin K supplementation varied from 6 to 12%. This case report aims to show that VKDB can occur abruptly after birth despite vitamin K1 1 mg IM being given immediately after birth.. A term female baby was born through vaginal delivery of a 28 years old mother, G1P0A0, 39-40 weeks gestation with normal APGAR score, and birth weight was 3445 g, birth length was 52 cm. During pregnancy, the mother did not take any drugs except vitamins. There are no abnormalities on the baby's physical examination. The anus is patent. Immediately after birth, the baby received a vitamin K1 1 mg intramuscularly. Abruptly, 50 min after delivery, there was meconium with lots of fresh blood. Laboratory results showed hemoglobin, 19.6 g/dL; leukocytes, 25,010/uL; platelets, 390,000/uL, with increased PT and aPTT. A peripheral blood smear showed a normal blood morphology. When 7 h old, the baby had much hematochezia. Laboratory results showed decreased hemoglobin to 17.5 g/dL and increased PT, aPTT, and INR. No abnormalities were found on the babygram and abdominal ultrasound. The working diagnosis was gastrointestinal bleeding due to idiopathic early-onset VKDB. The baby received vitamin K1 2 mg IM, Fresh Frozen Plasma, and a Packed Red Cells transfusion. The patient returned home in good clinical condition.. Vitamin K1 1 mg IM prophylaxis should be given immediately after birth to prevent early-onset VKDB. In addition, pregnant women who receive drugs that interfere with vitamin K metabolism (anti-epileptic drugs, anti-tuberculosis drugs, vitamin K antagonist drugs) should be given prophylactic vitamin K1, 20 mg/d orally, for at least two weeks before the expected time of delivery.

Topics: Adult; Female; Gastrointestinal Hemorrhage; Humans; Infant; Infant, Newborn; Pregnancy; Vitamin K; Vitamin K 1; Vitamin K Deficiency Bleeding; Vitamins

Infection with

Topics: Amino Acids; Anemia; Animals; Anti-Bacterial Agents; Bacteria; Diet; Dietary Supplements; Dysbiosis; Folic Acid; Food, Formulated; Gastrointestinal Hemorrhage; Gastrointestinal Microbiome; Helicobacter Infections; Helicobacter pylori; Liver; Male; Mice; Vitamin K 1; Vitamin K 2; Vitamin K Deficiency

Topics: 4-Hydroxycoumarins; Animals; Blood Transfusion; Dog Diseases; Dogs; Female; Gastrointestinal Hemorrhage; Plasma; Rodenticides; Stomach; Stomach Diseases; Vitamin K 1; Whole Blood Coagulation Time

Topics: 4-Hydroxycoumarins; Anticoagulants; Blood Coagulation; Blood Coagulation Tests; Blood Component Transfusion; Contusions; Epistaxis; Female; Gastrointestinal Hemorrhage; Humans; Middle Aged; Rodenticides; Vitamin K 1

Topics: Blood Cell Count; Blood Coagulation Disorders; Blood Coagulation Tests; Female; Gastrointestinal Hemorrhage; Hemorrhage; Hemostasis; Humans; Liver Cirrhosis; Liver Function Tests; Menorrhagia; Prothrombin Time; Vitamin K 1

Topics: Anticoagulants; Coumarins; Diagnosis, Differential; Gastrointestinal Hemorrhage; Hematoma; Humans; Intestine, Small; Male; Middle Aged; Vitamin K 1

Topics: Anticoagulants; Diagnosis, Differential; Duodenal Ulcer; Gastrointestinal Hemorrhage; Hematoma; Hemorrhage; Humans; Intestinal Obstruction; Intestine, Small; Intestines; Radiography; Toxicology; Vitamin K 1

Topics: Antacids; Anti-Bacterial Agents; Antibiotics, Antitubercular; Cathartics; Diet; Diet Therapy; Gastric Lavage; Gastrointestinal Hemorrhage; Hemorrhage; Hepatic Encephalopathy; Humans; Parasympatholytics; Pituitary Hormones; Pituitary Hormones, Posterior; Rest; Serum Albumin; Shock; Shock, Hemorrhagic; Statistics as Topic; Tranquilizing Agents; Vitamin K; Vitamin K 1; Water-Electrolyte Balance