Neonatal cholestasis mimicking biliary atresia: Could it be urinary tract infection?
Cholestasis can occur in newborns due to infections. However, the manifestations of the underlying infections usually dominate the presentation. We present a 2-month-old infant who presented with jaundice and no fever or signs of systemic illness. Liver biopsy was suggestive of cholangitis. He was subsequently detected to have urinary tract infection withKlebsiella pneumoniae. The child was treated with appropriate antibiotics for 2 weeks following which the cholestasis resolved. Thus, neonatal cholestasis due to infections can also occur in the post-neonatal period without clinical manifestations of an underlying infection.
Department of Pediatrics, Bai Jerbai Wadia Hospital for Children, Mumbai, India.
Noella Maria Delia
NM
Pereira
Department of Pediatrics, Bai Jerbai Wadia Hospital for Children, Mumbai, India.
Ira
I
Shah
Neonatal cholestasis; cholangitis; urinary tract infection