J Pediatr Infect Dis 2021; 16(02): 085-088
DOI: 10.1055/s-0040-1721512
Case Report

Bacteremia-Induced Cholestatic Jaundice as a Major Manifestation of Pneumococcal Infection in a Healthy Toddler

Shigeru Suzuki
1   Department of Pediatrics, Asahikawa-Kosei General Hospital, Asahikawa, Japan
2   Department of Pediatrics, Asahikawa Medical University, Asahikawa, Japan
,
Genya Taketazu
1   Department of Pediatrics, Asahikawa-Kosei General Hospital, Asahikawa, Japan
,
Tokuo Mukai
1   Department of Pediatrics, Asahikawa-Kosei General Hospital, Asahikawa, Japan
3   Department of Pediatrics, Japanese Red Cross Asahikawa Hospital, Asahikawa, Japan
,
Hiroshi Sakata*
1   Department of Pediatrics, Asahikawa-Kosei General Hospital, Asahikawa, Japan
,
Junichi Oki
1   Department of Pediatrics, Asahikawa-Kosei General Hospital, Asahikawa, Japan
› Author Affiliations
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Abstract

The development of pneumococcal conjugate vaccines has substantially decreased the incidence of invasive pneumococcal diseases. However, the incidence of bacteremia due to nonvaccine serotypes has increased. Therefore, it is important to recognize the symptoms and complications of pneumococcal infection to expedite diagnosis. Herein, we report the case of a 22-month-old patient diagnosed with pneumococcal bacteremia who presented with cholestatic jaundice and fever without any other signs of systemic sepsis. The patient's condition improved soon after antibacterial therapy. Other causes of jaundice were possibly ruled out based on the screening test for viral hepatitis, and there were no abnormal findings on abdominal ultrasonography. Therefore, the present case suggests that cholestatic jaundice could be a manifestation of pneumococcal bacteremia.

* deceased on September 8, 2018




Publication History

Received: 08 May 2020

Accepted: 30 October 2020

Article published online:
07 December 2020

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