Sir,
In response to the above query, the authors would like to mention that the cause of indirect hyperbilirubinemia was investigated on the lines of hemolytic anemia (peripheral blood film – spherocytosis; G6PD levels – G6PD deficiency), sepsis (hemogram, C-reactive protein, blood culture), urinary tract infection (urine microscopy and culture), hypothyroidism (thyroid function tests) and galactosemia (urine-reducing substance). Investigations were normal. Breast feeding was stopped for 24 h to rule out breast milk jaundice. Screening for rare metabolic disorders was not pursued once diagnosis of adrenal hemorrhage, a known cause of neonatal jaundice, was confirmed.