A male newborn was delivered at gestational age 37 weeks and 1 day via spontaneous vaginal delivery. His teenage mother was G1P1 and received routine antenatal care. His mother's blood type was A- (for which Rhogam treatment was received) and her pregnancy was complicated by preeclampsia. Patient’s birth weight - 2690 grams Head circumference - 33.5cm and length 49.5 cm APGAR scores at 1 minute and 5 minutes - 8 and 9 respectively Physical examination He had bruising and petechia. A screening complete blood count (CBC) revealed a platelet count of 10,000 per microliter.

His petechia worsened and he was admitted to the NICU. Due to a concern for sepsis, an infectious workup was undertaken along with coagulation studies, liver function tests, and serial CBC panels. The patient was kept NPO and administered both intravenous antibiotics and fluids. Investigations revealed the patient's…