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.
Keywords
cholestasis -
Streptococcus pneumoniae
- bacteremia - jaundice
