Unusual Case of an Infant with Urinary Tract Infection Presenting as Cholestatic Jaundice

Unusual Case of an Infant with Urinary Tract Infection Presenting as Cholestatic Jaundice

Neonatal jaundice is considered one of the most common reasons for admission to the pediatric medical ward. We report a case of a 1-month-old infant who presented with jaundice but no fever or any other signs of systemic illnesses. Laboratory test results revealed high direct hyperbilirubinemia, and...

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Main Authors: Rahaf Niazi, Bashaer Baharoon, Afnan Neyas, Meshari Alaifan, Osama Safdar
Format: Article
Language:English
Published: Hindawi Limited 2018-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2018/9074245
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spelling doaj-06351da43a9e461994e52c4572765b072020-11-24T21:47:11ZengHindawi LimitedCase Reports in Nephrology2090-66412090-665X2018-01-01201810.1155/2018/90742459074245Unusual Case of an Infant with Urinary Tract Infection Presenting as Cholestatic JaundiceRahaf Niazi0Bashaer Baharoon1Afnan Neyas2Meshari Alaifan3Osama Safdar4Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaFaculty of Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaFaculty of Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaPediatric Department, King Abdulaziz University, Saudi ArabiaPediatric Nephrology Center of Excellence, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaNeonatal jaundice is considered one of the most common reasons for admission to the pediatric medical ward. We report a case of a 1-month-old infant who presented with jaundice but no fever or any other signs of systemic illnesses. Laboratory test results revealed high direct hyperbilirubinemia, and urine culture showed a urinary tract infection with Enterobacter cloacae as the causative agent. He was admitted to the pediatric medical ward where he was treated with a course of antibiotics for 14 days, and cholestasis resolved completely following a course of antibiotics. We conclude that direct hyperbilirubinemia can be related to urinary tract infection in neonates. It is unusual for urinary tract infection to present clinically and biochemically as cholestatic jaundice.http://dx.doi.org/10.1155/2018/9074245
collection DOAJ
language English
format Article
sources DOAJ
author Rahaf Niazi
Bashaer Baharoon
Afnan Neyas
Meshari Alaifan
Osama Safdar
spellingShingle Rahaf Niazi
Bashaer Baharoon
Afnan Neyas
Meshari Alaifan
Osama Safdar
Unusual Case of an Infant with Urinary Tract Infection Presenting as Cholestatic Jaundice
Case Reports in Nephrology
author_facet Rahaf Niazi
Bashaer Baharoon
Afnan Neyas
Meshari Alaifan
Osama Safdar
author_sort Rahaf Niazi
title Unusual Case of an Infant with Urinary Tract Infection Presenting as Cholestatic Jaundice
title_short Unusual Case of an Infant with Urinary Tract Infection Presenting as Cholestatic Jaundice
title_full Unusual Case of an Infant with Urinary Tract Infection Presenting as Cholestatic Jaundice
title_fullStr Unusual Case of an Infant with Urinary Tract Infection Presenting as Cholestatic Jaundice
title_full_unstemmed Unusual Case of an Infant with Urinary Tract Infection Presenting as Cholestatic Jaundice
title_sort unusual case of an infant with urinary tract infection presenting as cholestatic jaundice
publisher Hindawi Limited
series Case Reports in Nephrology
issn 2090-6641
2090-665X
publishDate 2018-01-01
description Neonatal jaundice is considered one of the most common reasons for admission to the pediatric medical ward. We report a case of a 1-month-old infant who presented with jaundice but no fever or any other signs of systemic illnesses. Laboratory test results revealed high direct hyperbilirubinemia, and urine culture showed a urinary tract infection with Enterobacter cloacae as the causative agent. He was admitted to the pediatric medical ward where he was treated with a course of antibiotics for 14 days, and cholestasis resolved completely following a course of antibiotics. We conclude that direct hyperbilirubinemia can be related to urinary tract infection in neonates. It is unusual for urinary tract infection to present clinically and biochemically as cholestatic jaundice.
url http://dx.doi.org/10.1155/2018/9074245
work_keys_str_mv AT rahafniazi unusualcaseofaninfantwithurinarytractinfectionpresentingascholestaticjaundice
AT bashaerbaharoon unusualcaseofaninfantwithurinarytractinfectionpresentingascholestaticjaundice
AT afnanneyas unusualcaseofaninfantwithurinarytractinfectionpresentingascholestaticjaundice
AT mesharialaifan unusualcaseofaninfantwithurinarytractinfectionpresentingascholestaticjaundice
AT osamasafdar unusualcaseofaninfantwithurinarytractinfectionpresentingascholestaticjaundice
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