Question
How should neonatal jaundice accompanied by a low white blood cell count be managed?
Answer
Based on the description, the newborn was admitted to the NICU four days after birth due to jaundice. Examination revealed a low white blood cell count, slightly elevated total bilirubin levels, but normal liver function and enzyme indices. An initial guess suggests physiological jaundice, but further confirmation is needed. Suspected bacterial infection is common and does not require excessive concern. The physician inquired about whether the baby was premature and the parents’ blood types to assist in diagnosis.