Case presentation A two-day-old infant was referred to the neonatal intensive care unit (NICU) to manage the bloody stools. Her parents reported that the baby had approximately ten dark green to black, loose, foul-smelling bowel movements with blood mixed in the stool. Medical history Uncomplicated, spontaneous vaginal, term delivery The antenatal history was unremarkable. Maternal serologies for rubella, herpes, HIV, and syphilis were protective, and group B Streptococcus testing was negative. The only maternal medications were prenatal vitamin supplements. No family history of bleeding disorders or coagulopathies.
Physical examination The baby was less active but responsive and appropriate with handling. Bowel sounds were present. The abdomen was soft. A questionable anal fissure was present at the 12 o'clock position. Laboratory findings WBC count - 8 × 10 9 /L RBC count – 5.5 x 10…
