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Factor XIII deficiency with intracranial haemorrhage
  1. Muzamil Ejaz,
  2. Ayesha Saleem,
  3. Nimrah Ali and
  4. Fizza Tariq
  1. Pediatrics, Dow Medical College, Dow University of Health Sciences, Dr Ruth KM Pfau Civil Hospital, Karachi, Pakistan
  1. Correspondence to Professor Muzamil Ejaz, muzamilejaz08{at}


A 5-year-old girl presented to paediatric emergency with fever and seizures for a short duration. At first, meningitis was suspected and management was started empirically. There was no improvement in the clinical condition of the patient and investigations revealed spontaneous intracranial haemorrhage (ICH) secondary to factor XIII deficiency. The child was transfused cryoprecipitate and managed conservatively for ICH. She became asymptomatic and was kept on monthly cryoprecipitate transfusions. This case report summarises factor XIII deficiency in ICH which was not suspected initially, but diagnosed later on after CT scan head and factor XIII assay. This report also highlights events occurring during its management.

  • haematology (incl blood transfusion)
  • neurology
  • paediatrics
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  • Contributors ME: written, reviewed, edited and final approval. AS: workup, literature search, writing of manuscript. NA and FT: literature search, writing of manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Parental/guardian consent obtained.

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