A 1-Month-Old Preterm African American Is Brought to the Emergency

A 1-month-old preterm African American is brought to the emergency department due to lethargy for a day. He is exclusively breastfed. He was in the NICU due to cyanosis but discharged after he became well. The boy is at the 60th percentile for weight and the 70th percentile for height. Head circumference is at the 99th percentile. Physical examination shows a large, bulging anterior fontanel.  The eyes appear driven downward and the patient is not able to track upward.  No scalp swelling is present.  Intracranial hemorrhage is confirmed on head CT scan.  Which of the following is the most likely cause of this infant's condition?

A) Abusive head trauma
B) Bacterial meningitis
C) Birth injury
D) Germinal matrix fragility
E) Impaired clotting factor carboxylation

Correct Answer:

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