Bilirubin Encephalopathy

This is a known complication of severe untreated neonatal jaundice which is rarely seen nowadays. However , after almost two years of my stay in Mongar , we have a case currently in the NICU. This child was referred from S/jongkhar hospital with a Bilirubin of 34 mg%. The child had lethargy, poor feeding and retrocollis. He has improved now but will probably have some sequele. Though very common, prompt recognition and management of neonatal jaundice with phototherapy is mandatory to prevent such devastating consequences.