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Pseudomonas UTI Masquerading as Neonatal Jaundice: A Case Report
Aditi Das1, Rimjhim Sonowal1, Subhankar Sarkar1
1Department of Pediatrics, All India Institute of Medical Sciences, Kalyani, West Bengal, India.
Indian Journal of Nephrology
|September 2, 2025
Summary
Urinary tract infections (UTI) can cause persistent neonatal jaundice, a condition often overlooked. Early UTI evaluation is crucial for neonates with unexplained jaundice and poor response to phototherapy.
Area of Science:
- Neonatology
- Pediatric Infectious Diseases
- Clinical Biochemistry
Background:
- Pathological jaundice in neonates presents with diverse etiologies including hematological, infectious, and surgical causes.
- Persistent neonatal hyperbilirubinemia necessitates thorough investigation to identify underlying pathologies.
- Standard phototherapy may be insufficient for certain causes of neonatal jaundice.
Observation:
- A case of persistent neonatal hyperbilirubinemia with an atypical presentation is detailed.
- The neonate exhibited poor response to conventional phototherapy.
- Elevated rebound total serum bilirubin levels were noted post-treatment.
Findings:
- The neonate was diagnosed with a urinary tract infection (UTI).
- Effective management of the UTI led to the resolution of hyperbilirubinemia.
- UTI emerged as the underlying cause of persistent neonatal jaundice in this case.
Implications:
- Urinary tract infection should be considered in the differential diagnosis of unexplained persistent neonatal jaundice.
- Neonates with poor phototherapy response and high rebound bilirubin levels warrant UTI screening.
- Timely diagnosis and management of UTI can prevent prolonged or severe hyperbilirubinemia in newborns.
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