Tiny purple spots on the skin? The index patients fathera pediatric dermatologisthad taken his infant son on a 2-hour hike using a legs out, forward-facing baby carrier. Page Medically Reviewed By Kim Langdon, M.D. it be many things. Acute onset of petechiae and purpura requires careful investigation to exclude serious underlying causes. Petroleum products that commonly poison small animals are fuels, solvents, lubricants, and waxes, as well as some pesticides and paints that have a petroleum base. Best for parents of different sizes: Ergobaby Omni 360 Baby Carrier All-In-One Cool Air Mesh, . Accessibility Statement, Our website uses cookies to enhance your experience. Petechiae are tiny brown, red, or purple spots that appear under the skin. Petechiae often look like a rash, which can be alarming. In up to 44% of fatal and near-fatal physical abuse cases, bruising was missed as an initial warning sign. Shehla Admani, MD, is a clinical research fellow in pediatric dermatology at Rady Childrens Hospital, San Diego. Petechiae are small red bumps that usually appear on babies' skin or mucus membranes. use of this site indicates your agreement to be bound by the Terms of Use. People with leukemia are prone to a range of skin-related problems, from rashes and bruising to infections and bleeding into the skin. Subsequently, 2 healthy-appearing infants presented with eruptions of petechiae and purpura limited solely to the lower extremities in the setting of recent exposure to baby carriers, one with mildly elevated levels of aspartate transaminase (AST) (65 U/L), alanine transaminase (ALT) (55 U/L), platelets (504103/L), and creatine kinase (CK) (177 U/L) and the other with a mildly elevated AST value (59 U/L). Basically tiny little bruises under your skin. VC, Collier Nine patients were admitted for observation, with only 1 patient having progression of signs. If the gene is passed on to a son, he will have the disease. E. Obtain a more detailed history of the childs diet. I can't tell from the pic. Disclosure: Admani and Krakowski report no relevant financial disclosures. Petechiae in babies can occur due to self-limiting conditions (such as birth trauma) and bleeding disorders that require prompt medical care. interactive elements on the site, any assistance, or response you receive is provided by the author petechiae baby carrier; petechiae baby carrierskiing puns for captions. , Can you post a pic of what he normally looks like please? If your baby spends time in childcare (daycare) centers or you have hired help for childcare when you have to be away from home, make sure there are no chances of physical abuse in your absence that may be causing petechiae on the babys body. Is Wellbutrin (Bupropion) Safe During Pregnancy? This was a retrospective and descriptive audit investigating well infants (<8 months of age) presenting with petechiae or purpura in the absence of fever to a pediatric emergency department over a 9-year period. Hypoprothrombinemia symptoms. 2012 Mar;101(3):271-7. doi: 10.1111/j.1651-2227.2011.02478.x. Blood clots to prevent excessive bleeding. Anthony Fauci. Work with your doctor or other health care professional for an accurate diagnosis. They can be about the size of a pinprick but do not itch or blanch when you press on them. Give our baby and nursery specialists a call at 310-895-9983 and we'll be happy to answer any questions you may have. Should you have any concerns about your health, or of that of your baby or child, please consult with DVE has been reported in domestic and wild waterfowl in Europe, Asia, North America, and Africa, resulting in limited to serious economic losses on domestic duck . She has around 5 yea more. One cause of petechiae is straining too much for too long. Extra virgin olive oil is a wonderful remedy for petechiae. "Thrombotic" refers to the blood clots that form. We report 19 cases of sudden unexpected death in infancy (SUDI) linked to infant carrier. Petechiae from a blood pressure cuff is when reddish color dots form on your skin. He says they are pregnancy related- due to the increase in blood volume, which caused some busted capillaries. If it's just on his face, it's most likely from crying and not a big deal. according to the suspected underlying condition. World malaria day with no mosquito sign for prevention of virus carrier insect spreading Aedes aegypti, yellow fever, dengue, chikungunya, Zika, Mayaro, Malaria, flavi epidemic disease pictures of petechiae pictures stock pictures, royalty-free photos & images . E) Streptococcus agalactiae. Parenting.Firstcry.com accepts no liability for any errors, omissions or misrepresentations. 2003 Aug;19(4):244-7. doi: 10.1097/01.pec.0000086233.54586.87. Antibiotics help clear the infection, and once the infection is gone, the spots will disappear as well. Examples include: Vasculitis. Spotless RMSF occurs in 10%-15% of cases. Before This is a type of cancer that affects your blood as well as your bone marrow. "Acute onset of petechiae and purpura requires careful investigation to exclude serious underlying causes," the authors conclude. Certain blood thinners like heparin and warfarin can cause the condition, as can the heart rhythm regulator atropine. petechiae baby carrier. Commendations for Homoeopathy; Products. In the specific setting of a supporting history and physical examination with well-demarcated localized findings, however, recognition of the Rumpel-Leede phenomenon presenting as 'baby carrier purpura' may help spare infants from unnecessary, costly, and invasive evaluations and treatments.". PL. What autoimmune diseases cause petechiae? Generally, petechiae are smaller versions of purpura, and they, too, are sometimes. 5. Blood also can collect under the tissue in larger flat areas (called purpura ), or in a very large bruised area (called an ecchymosis). Acute-onset petechiae and purpura can be alarming, accounting for approximately 2.6% of all pediatric emergency department visits.1 Given the life-threatening conditions associated with these lesions, extensive evaluations are often implemented. Diascopy with a glass slide reveals that the lesions truly do not blanch, confirming the suspicion of petechiae. No, low iron level (iron deficiency anemia) does not lead to petechiae. (3,394) 475. Doing so at the earliest can help you avoid any health complications in your baby. Babies have soft, delicate, and almost clear skin. Causes of Petechiae in babies: A petechial rash, especially with fever, requires immediate medical attention.. Whenever I use Dr Google it says my kid is dying and scares the shit put of me. They are the result of tiny capillaries discharging blood underneath the skin. If your babys pulse rate is abnormal or comparatively high. Basically, a minimum of 2 to 3 weeks is required for petechiae to heal and the affected individual can add another one week depending on the severity of the condition. Although it can arise from normal reasons such as cough, allergies, or birth trauma, petechiae may sometimes indicate an alarming condition such as meningococcal septicemia. Petechiae are formed when tiny blood vessels called capillaries break open. This is often caused by birth trauma. Petechiae due to baby carrier? In addition, you may consult your doctor about the preventive measures to protect your baby from the possible causes that can trigger the condition. Anybody elses baby presenting signs of Petechia? Carrier features four ways to carry, including facing-in (folded), facing-in (extended), facing out and back pack. They usually appear on the face. At a minimum, direct observation and screening laboratory tests (eg, complete blood cell count, comprehensive metabolic panel, coagulation profile) may be warranted. Petechiae in babies can occur due to self-limiting conditions (such as birth trauma) and bleeding disorders that require prompt medical care. With platelet counts less than 10,000/L, generalized petechiae, ecchymoses, and mucosal bleeding occur. There are two types: irritant contact dermatitis and allergic contact dermatitis. MW, Barwise B) Staphylococcus epidermidis. Various kinds of skin allergies, such as atopic dermatitis, may cause this condition. This may cause bleeding and bruising. You can also get petechiae from vomiting or straining while lifting weights. Petechiae is just broken capillaries. Its findings include increased bruising without trauma, petechiae, and recalcitrant nosebleeds. Gauri Ratnam completed her Masters in English Literature from the University of Pune. However, infant broken bones are more commonly due to birth injuries caused by the infant's size or position during delivery. One of the more basic reasons you will have petechiae appear on your skin is due to straining. Its probably fine but a check up could really put your mind at ease. For older babies and children, it's reasonably safe to diffuse certain oils such as cedarwood, ginger or sweet orange for up to . Fever is the most common associated symptom seen in many infectious and noninfectious underlying causes. Sometimes delays in getting treatment may cause fatal complications in babies. Bethesda, MD 20894, Web Policies Diagnosis: Petechiae secondary to tourniquet phenomenon. Rumpel-Leede Phenomenon Associated With Tourniquet-like Forces of Baby Carriers in Otherwise Healthy Infants; Baby Carrier Purpura. The classic presentation includes lower-extremity palpable purpura, arthritis, abdominal pain and renal disease. info@gurukoolhub.com +1-408-834-0167; petechiae baby carrier. See a medical professional for personalized consultation. Background: Also known as forceps marks, these bruises eventually heal on their own. Epub 2011 Oct 15. We see it a lot on the face from vomiting also. Publication types Case Reports . In nursing school we were taught to always look out for petechiae in babies/toddlers and take them seriously. 6 This occurs from increased venous pressure during cycling of the cuff, causing the small dermal capillaries to rupture. Scurvy (vitamin C deficiency) Vitamin K deficiency. Petechial spots do not become colorless (pale) while applying pressure on it. Petechiae is one of the common symptoms of sepsis, along with fever, difficulty breathing and a fast heart rate. Authors Richard Temple 1 , Kenneth Bull 1 Affiliation 1 Naval Hospital Camp Lejeune, Jacksonville, NC, USA. Causes shown here are commonly associated with this symptom. This usually disappears within a week or two without medications. The antidepressant desipramine and anticonvulsant carbamazepine have both been known to cause petechiae. None of the infants had an underlying bleeding diathesis, and the lesions resolved completely within several weeks. The site is secure. Yellow skin and eyes (jaundice) Enlarged and poorly functioning liver. Some are minor and may not require any treatment at all. (2,267) Petroleum hydrocarbon toxicosis is a severe and disease-like reaction that occurs when a dog is exposed to refined petroleum oil products, or ingests products of this type. doi:10.1001/jamadermatol.2015.6270, 2023 American Medical Association. Most patients were healthy full-term babies less than 3 months of age, and suffocation was the most frequent cause of death. I can tell he's a little cutie though. I have never experienced these before in pregnancy, and can not find out much information online. 7. Bleeding is usually mild, unless the platelet count drops below 20,000/L. Z33.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. She lends her expertise to the team at Birth Injury Guide to provide up-to-date and relevant content that clients can count on. This is the American ICD-10-CM version of R23.3 - other international versions of ICD-10 R23.3 may differ. There are tiny blood vessels underneath the skin. a young woman arrives at a hospital after many hours of labor and delivers a baby girl. Lethargy or drowsiness are common. ODD had leukemia as a baby so I'm super paranoid about petechiae in my . If there is no progression of signs, it is likely that they can be safely discharged. Rash on Infants Face (c) Copyright Thomson Reuters 2016. Do this 2-3 times for two days for good results. Petechiae are small (4mm in diameter), nonblanching, purpuric macules that can appear on the skin, conjunctiva, retina, and mucous membranes. The spots of petechiae measure between one to two millimeters or 0.04 to 0..8 inches. Common mechanical causes include vomiting or coughing causing petechiae in the SVC distribution (above the nipple line) and local physical pressure including the use of tourniquets and the straps of baby carriers and car seats. Petechiae are usually reddish-purple in coloration. Sometimes babies may develop certain kinds of skin conditions, and one such condition petechiae. This is more likely to occur when the patient has more vascular fragility due to a medical condition. Here are some common causes of petechiae in children (1) (2). Historically it has been used for the assessment of capillary fragility and thrombocytopenia though petechiae are caused by physical traumas or medical conditions. is a retired board-certified OB/GYN with 19 years of clinical experience. Petechiae spots are not painful or itchy. In infants under 3 years old, strep throat rarely causes a. c. contain lots of vitamin K, the antidote to Coumadin therapy. The 2022 edition of ICD-10-CM R23.3 became effective on October 1, 2021. A petechia (/ p t i k i /) is a small red or purple spot (4 mm in diameter) that can appear on the skin, conjunctiva, retina, and mucous membranes which is caused by haemorrhage of capillaries. petechiae baby carrier petechiae baby carrier. Risk Factors for Bruising and Petechiae Although most infant bruising is merely a side effect of the physical stresses of labor and birth, it can also be a sign of injuries sustained during delivery. A quick history and confirmatory physical exam revealed that the petechial rash was secondary to a tourniquet effect from the baby sling he was carried in during the hike. FlyingCow. It's also a common symptom to have after you've given birth. None of these babies subsequently developed sepsis. National Library of Medicine Chester Petechiae due to bacterial infections will require antibiotic treatment, while petechiae due to coagulation disorders will require anticoagulants and other medications. However they CAN be caused by accute pressure on an area. In animals, Leptospira can be found in aborted or stillborn fetuses, as well as in normal These extra cells cause the blood to be thicker . Long and arduous labors are often the result of: In difficult births, there is an increased risk that some type of birth trauma may occur. government site. MH, Barnett Additional Contributions: We thank the index patients parents for granting permission to publish this information. I'm having t. Women with factor II deficiency experience menorrhagia, heavy menstrual bleeding, and postpartum hemorrhage after childbirth. (To convert ALT, AST, and CK to microkatals per liter, multiply by 0.0167.) If left untreated, they could last longer and spread to the entire body (5). Purpura is a non-blanching spot that measures greater than 2 mm. Leukemia Rashes, Infections, and Bruises. At the hikes conclusion, the cloth material of the baby carrier was noted to have cinched tight around the infants lower extremities. Soak a piece of cloth in the chamomile tea. All Rights Reserved, Challenges in Clinical Electrocardiography, Clinical Implications of Basic Neuroscience, Health Care Economics, Insurance, Payment, Scientific Discovery and the Future of Medicine, 2016;152(6):728-730. doi:10.1001/jamadermatol.2015.6270. Best Gender-Neutral For those who don't know, petechiae are dots of blood which appear under the skin; they often appear with purpura, which are larger areas or patches of blood under the skin, rather like a bruise. None had generalized signs. Review of systems is negative for recent fevers, conjunctivitis, rash, or upper respiratory infection symptoms. Current time: 03/04/2023 06:50:29 p.m. UTC . Another example, recently described by Nguyen et al., includes "baby carrier purpura" caused by excessively tight baby carriers producing a tourniquet effect, resulting in capillary injury and a petechial rash . Similarly, spanking, biting, and crush injuries can cause petechiae of the neck, face, and chest. Clipboard, Search History, and several other advanced features are temporarily unavailable. 1 Petechiae often appear in clusters and may look like a rash. Low birth weight. To register for email alerts, access free PDF, and more, Get unlimited access and a printable PDF ($40.00), 2023 American Medical Association. Two of the infants had mild transaminitis, suggesting the possibility of a predisposing viral cause. If there are no other concerning symptoms or causes, there is no requirement of treatment. I think my LO's is due to spending more time in the baby carrier than usual on the weekend (went camping), as it is limited to the legs. In a 2012 retrospective review of 36 well-appearing infants presenting to emergency departments with . The information on this website is of a general nature and available for educational purposes only and R23.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. [3] 2 Examine your medications. Petechiae are pinpoint-sized reddish/purple spots, resembling a rash, that appear just under the skin or a mucous membrane when capillaries have ruptured and some superficial bleeding into the skin has happened. A high index of suspicion must be maintained, as the mortality rate is 20%-30% for untreated patients and 1%-5% for treated ones. Here are some other ways to deal with petechiae in children: In case your child has recently started a new medication, this could very well be the reason why he/she hasdeveloped those spots. The average age was 3.8 months (range, 1-7 months). He/she may conduct a clinical examination, blood tests, lumbar puncture, etc. Vacuum extraction may also cause bruising to the babys scalp. In the first case, a showering of petechiae and purpura appeared soon after the release of the cloth material that had been cinched around the infant's lower extremities, and the exam was otherwise normal. Petechiae often appear on childrens face, arms, stomach, chest, buttocks, and feet. Petechiae/purpura in well-appearing infants. She has around 5 years of experience in various sectors of medical affairs as a physician, medical reviewer, medical writer, health coach, and Q&A expert. Conclusions: New-onset petechiae or purpura in an infant can be very concerning and can frequently lead to an extensive workup. The .gov means its official. ICD-10-CM Coding Rules. This causes some breakage in the babys capillaries and venules and forms contusions or bruises. Blood then leaks into the skin, which is why it appears more like a rash. A more benign cause may be the Rumpel-Leede phenomenon, a self-limited clinical finding characterized by acute dermal capillary rupture caused by tourniquet-like forces leading to distal petechiae and purpura on release of pressure.2 A 2012 retrospective review of 36 well-appearing infants presenting to emergency departments with petechiae and purpura in the absence of fever postulated an association with mechanical forces, but no specific cause was confirmed.3, Initially reported in association with scarlet fever, the Rumpel-Leede phenomenon has been associated with conditions predisposing patients to capillary fragility, such as diabetic microangiopathy and thrombocytopenia, after ambulatory blood pressure monitoring.4,5 Medications such as calcium channel blockers have also been implicated. No fever, no vomiting or coughing. While petechiae usually fade without treatment, it is important to identify the underlying cause. If your baby develops a fever, which is 104 degrees or more. 3 /10. Bruising occurs when there are swelling and remodeling of the soft, delicate tissues of the babys scalp. Mild cases of HSP can be treated with supportive care, including the use of analgesics and nonsteroidal anti-inflammatory medications. Blood disorders such as thrombocytopenia i. X Medical condition of having a low blood platelet count. Bacteremia in feverish children presenting to the emergency department: a retrospective study and literature review. 2023 American Medical Association. These small, round dots that appear on the skin are called petechiae. The bleeding causes the petechiae to appear red, brown or purple. Moro Reflex In Babies: How Long It Lasts And When To Worry, Babys Head Hot, But No Fever: Causes And When To Worry, When Do Babies Start Smiling And 7 Activities To Encourage It, Hypotonia in Babies: Signs, Causes, Diagnosis & Treatment, Scarlet Fever In Babies: Symptoms, Causes And Treatment, Why Do Babies Wear Helmets And How Long Should They Wear, Port Wine Stains In Babies: Causes And How To Treat Them, Tourniquet pressure such as from wearing a diaper or baby sling, Thrombocytopenia (low number of platelets), Dysproteinemia (blood protein content disorder), Certain medications such as penicillin, Qualaquin (quinine), or Cerebyx (phenytoin), Child abuse in the form of smothering, biting, strangulation or spanking. Prevalence and location of petechial spots in well infants. They may also be caused by a reaction to a medicine or a collagen disorder. flats to rent in telford no deposit dss accepted, how to apply payment to invoice in quickbooks desktop, Is Southwest Airlines Employee Compensation Above Market, List Of Cash Crops In Nigeria And Their Location, is mark l walberg related to mark wahlberg, detailed lesson plan in science grade 6 slideshare. They occur due to bleeding from the capillaries that attach your arteries to your veins. Your doctor will make the diagnosis to check the reason for these bumps. All rights reserved. On physical exam, multiple, scattered 1-mm to 3-mm pinkish-red, round macules are noted on the patients bilateral legs; a sharp symmetric cutoff of the lesions is noted at the proximal bilateral thighs. Transmission . Petechiae in children also can be caused by external sources. Go through the infographic to learn more about petechiae in babies.SaveIllustration: Momjunction Design Team. Sepsis is the bodys overwhelming response to an infection. Sunburns or injuries: The occurrence of petechiae in the face and eyes may be influenced by some traumas or injuries. They can burst anytime and cause petechiae in anyone. Can you post a pic of what he normally looks like please? If you notice your baby is very tired or lethargic. Small white spots known as Koplik's spots may form inside the mouth two or three days after the start of . Unauthorized use of these marks is strictly prohibited. All presenting problems of petechiae or purpura were reviewed. Terms of Use| The spots are flat and dont itch or blanch (turn pale) when you press them. Petechia looks like broken blood vessels. The rash typically begins on the ankles, wrists or forearms and spreads centripetally to involve the proximal extremities and trunk. It refers to one of the three descriptive types of hematoma differentiated by size, the other two being ecchymosis . Good luck! You should seek immediate medical help or assistance if you notice any of the following symptoms in your baby: These are some of the signs for which you should consult your doctor as soon as possible. They often show up very suddenly. For instance, purpura rashes are also non-blanching on pressure tests, like petechiae, but are due to meningococcal septicemiaiXSpread of bacterial infection into the bloodstream that requires emergency care (1). An unidentified 36-year-old woman from New Mexico said Carriers. They are flat on the skin, not raised. Certain cancers, cancer treatments, medications and autoimmune diseases can cause the condition. Other symptoms may include: Headache Stomach pain Once the correct diagnosis is made, your doctor will advise you a course of treatment that should be followed strictly to effectively manage the condition. Getting your child vaccinated for specific diseases may protect the child from petechiae occurring from those particular diseases. The main cause of this problem is bleeding under the skin. Dr. Sharon Wiener, a board-certified pediatrician from Plano, Texas, says, Physical trauma, such as a hard bout of coughing, breath-holding, vomiting, or crying, can cause facial petechiae. A What to Expect Award winner, this baby carrier offers four carry positions (front-parent facing, front-forward facing, back and side holds) and is strong enough to hold your little one from 7 to 45 pounds. Petechiae are little pinpoint hemorrhages. If that is the case, you should consider applying ice or cold compression on the affected area. Childbirth is a traumatic experience for a babys body even under the best of circumstances. Opinions? These lumps only form on one side of the skull, usually at the point of most contact between the babys head and the mothers pelvic bones. All presenting problems of petechiae or purpura were reviewed. Caput succedaneum is a medical condition marked by swelling on an infants scalps soft tissues. Don't diffuse essential oils around infants under 6 months old. The bleeding can have many different causes, including physical trauma, a reaction to a drug, or a more serious condition, such as thrombocytopenia. Affected people may also have excess white blood cells and platelets. The lesions have been present for 1 day and were noticed only after the patients mother undressed the child after they returned from their daily local hike together. 1 doctor answer 2 doctors weighed in Share Dr. Hushang Haghighatanswered Specializes in Pediatric Hematology and Oncology Talk now Evaluation: trauma usually produce bruises,so for petechiae, baby need to have bloodtest (CBC,PT ,PTT) to R/O bleeding disorder. The baby may experience trouble breathing. Here are some symptoms and signs of petechiae in babies: The treatment of this skin condition will vary on the severity and underlying condition that may be causing it. In fact, in one study looking at otherwise healthy infants presenting to the ED with petechiae or purpura, an exact cause was not found in almost 25% of the cases, and for most patients the diagnoses were only speculative. Dr. Krakowski did not respond to a request for comment by press time. When a hemophilia carrier female is pregnant, there is a 50/50 chance that the hemophilia gene will be passed on to the baby. H, Rrup Petechiae are pinpoint non-blanching spots Purpura are larger non-blanching spots (>2 mm) Image: petechiae on the torso and legs of a child Image: purpura on the torso and back/face of a child Assessment All children with fever and petechiae/purpura should be reviewed promptly by a senior clinician History Free delivery. Measles is a highly contagious infectious disease caused by measles virus. After initial consultation for petechiae, follow any treatment plan the doctor suggests. Tiny, red spots on the roof of the mouth, called petechiae (pronounced pi-TEE-kee-eye) Swollen lymph nodes in the front of the neck A healthy throat View Larger Signs of strep throat View Larger Less common symptoms may include vomiting Some people, especially children, may have other symptoms, too. Dry Skin in Infants, Petechiae In Babies- Causes, Signs and Treatment. If required, dilute 2 teaspoons of carrier or coconut oil with chamomile oil. With platelet counts from 20,000/L to 50,000/L, petechiae and ecchymoses are observed following mild trauma. Lesions between two mm and one cm are called purpura (, Some other worrisome signs include spots that blend together, streaks appearing under the nails, excessive or unmanageable irritability, excessive drowsiness, or breathing problems (, The spots may become purple in color before they begin to fade and disappear (, MomJunction's articles are written after analyzing the research works of expert authors and institutions. Petechiae may also be caused by noninfectious medical conditions. Purpura: Larger (> 2 mm) red or purple non-blanching spots on the body. Thousands of new, high-quality pictures added every day. Call your pediatrician for any of these symptoms in your little one, recommends Dr. Wiener. When this happens, antibodies coat the platelets and the spleen's phagocytes remove them in numbers up to 10 times greater than the normal platelet removal rate. I'm having trouble judging. Seek out a dermatologist - I know it's more than just a skin issue - however - it's a new set of eyes to look at the problem. The #1 app for tracking pregnancy and baby growth. Initial symptoms typically include fever, often greater than 40 C (104 F), cough, runny nose, and inflamed eyes. Though these medical tools are useful and solve many birth-related complications, they can also cause birth injuries, including infant bruising and petechiae. Some other symptoms include fever, a stiff neck, vomiting, and headaches. Administering certain medicines such as quinine, penicillin, Cerebyx, etc. Consequently, the differential diagnosis for petechiae and purpura should be broad, including infections (eg, Rocky Mountain spotted fever, parvovirus, etc), vasculitis, dietary deficiency and both accidental and non-accidental trauma. Nguyen TA, Garcia D, Wang AS, Friedlander SF, Krakowski AC. All babies can receive birth injuries as a result of prolonged labor. Although most infant bruising is merely a side effect of the physical stresses of labor and birth, it can also be a sign of injuries sustained during delivery. If petechiae have any kind of connection with purpura fulminans, immediate medical help should be sought and the doctor can start a course of antibiotics medicines at once. Viral infections such as enterovirus and influenza.