Bruising, tingling, and numbness in a pale adolescent

摘要

A 14-year-old male, with a past medical history of vitil-igo was referred from an outside hospital for management of thrombocytopenia and left-sided numbness and tingling. The patient bumped the top of his head on a locker 5 days prior to presenting to an outside hospital emergency department. He denied any loss of consciousness, headache, or bleeding during the event. He complained of nausea, vomiting, abdominal pain, subjective fevers, and chills on the day prior to the visit. He was diagnosed with a "stomach virus" and given per oral Bactrim. The next day he returned to the outside hospital emergency department with increased bruising and short episodes of tingling and numbness lasting less than a minute on the left side of his body.