Grand Rounds

Recurrent hyperbilirubinemia in an infant


Pawan Daga1, Ira Shah2
1Final year MBBS, Department of Pediatrics, Seth G S Medical College, Mumbai, 2Consultant in Pediatric Infectious Diseases and Pediatric Hepatology, Levioza Health Care, Mumbai, India

Address for Correspondence: Pawan Daga, Seth G S Medical College, Parel, Mumbai, India 400012. Email: pawandaga123@gmail.com


Clinical Problem:
A 7-month-old boy was referred for recurrent indirect hyperbilirubinemia since day 6 of life. The child had received phototherapy twice for same in neonatal period. He was also on phenobarbitone. Whenever, the phenobarbitone was stopped, jaundice used to recur. His milestones were normal. On examination, he was jaundice free and systemic examination was normal. Investigations including G6PD and pyruvate kinase activity, thyroid function tests and hemoglobin electrophoresis were normal.

What is the diagnosis and management of this patient?


Previous Grand Rounds View All

M
Massive Hepatomegaly - Can it be acute lymphoid leukemia?
Himali Meshram, Ira Shah
A 9 years old female child presented to our Pediatric Liver clinic with a loss of weight of 2.5 kgs in 6 months, abdominal distension and loss of appetite for 3 months. There was no fever, bleeding ma....
P
Persistent Diarrhea in an Infant- Could it be Enteroaggregative Escherichia coli
Himali Meshram, Ira Shah
A one and half month-old male child born of non-consanguineous marriage presented in September 2017 with diarrhea for 20 days. He had 20-25 motions per day associated with occasional vomiting. Antenat....
H
Hyperbilirubinemia in a child on anti-retroviral therapy
Pawan Daga, Ira Shah
A 20 years old HIV infected girl on anti-retroviral therapy (ART) since the age of 12 years presented with jaundice for 3 months. There was no fever. She was initially on stavudine (d4T), lamivudine (....
F
Familial Tubercular Abscesses
Shweta Bargaje, Ira Shah
A 13-month-old boy presented with an abscess over the right thigh following measles vaccine. The abscess was drained and histopathology of the abscess wall showed non-caseating granulomatous inflammat....
A
A 9 months old child with Asymptomatic Bradycardia
Pritika Mall, Ira Shah
A 9-month old boy, born of a non-consanguineous marriage was referred for bradycardia. The child was otherwise asymptomatic. On examination, his heart rate was 60 bpm, with no apex pulse deficit. Othe....
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0