title: Diffuse bilateral retinal hemorrhages in an infant with a coagulopathy and prolonged cardiopulmonary resuscitation.
abstract: We report a case of diffuse bilateral retinal and optic nerve sheath hemorrhages in an 8-week-old boy who was found unresponsive. The child underwent prolonged cardiopulmonary resuscitation and was noted on admission to have a coagulopathy. An autopsy determined the cause of death to be a myocardial infarct in the distribution of an anomalous coronary artery. This case demonstrates the difficulty that may occur in establishing whether child abuse caused death in the setting of another potential cause of mortality.
authors.affiliation: Department of Ophthalmology, Emory University, Atlanta, Georgia.
authors.forename: Joshua D
authors.initials: JD
authors.lastname: Levinson
authors.affiliation: Fulton County Medical Examiner Center, Atlanta, Georgia.
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Pasquale
authors.affiliation: Department of Ophthalmology, Emory University, Atlanta, Georgia. Electronic address: slamber@emory.edu.
authors.forename: Scott R
authors.initials: SR
authors.lastname: Lambert
mesh_terms: D016887:Cardiopulmonary Resuscitation; D002423:Cause of Death; D004211:Disseminated Intravascular Coagulation / Q000175:diagnosis*; D017809:Fatal Outcome; D006323:Heart Arrest / Q000175:diagnosis; D006801:Humans; D007223:Infant; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis*; D012166:Retinal Hemorrhage / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed