Загадка из NEJM

dok_zlo — 09.12.2024

A previously healthy 10-year-old boy was brought to the pediatric emergency department with a 4-day history of progressively worsening bruising around the eyelids. Four weeks prior, he developed a dry cough, which had intensified over the previous week. The patient was up to date on routine vaccinations and had no history of trauma or bleeding disorders. On physical examination, ecchymosis was noted on the eyelids, along with subconjunctival hemorrhages in both eyes. A complete ophthalmologic examination was otherwise normal. Which of the following is the most likely etiology of the patient’s symptoms and findings?

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