An infant is born at 36 weeks to a 27-year-old gravida 4, para 3 woman via precipitous vaginal delivery through meconium-stained amniotic fluid. The pregnancy had been complicated by diet-controlled gestational diabetes. The mother works as a daycare teacher and had traveled to Europe 12 weeks before delivery. She had clinical symptoms of an acute upper respiratory illness 3 weeks before delivery. The neonate’s physical parameters include weight of 2.085 kg (13th percentile), length of 43 cm (38th percentile), and head circumference of 31 cm (16th percentile).

Initial blood glucose level is 23 mg/dL (1.28 mmol/L), and the neonate is given a D10 bolus and maintenance intravenous fluids are started. The neonate’s initial platelet count is 37 × 103/μL (37 × 109/L) with no active bleeding or oozing. He is noticed to be thrombocytopenic on subsequent complete blood cell counts. A sepsis evaluation is done, blood...

You do not currently have access to this content.