Congenital candidiasis – a diagnostic challenge

Authors

  • Sara Rolim Department of Pediatrics and Neonatology, Unidade Hospitalar de Famalicão, Centro Hospitalar do Médio Ave
  • Joana Figueirinha Department of Pediatrics and Neonatology, Unidade Hospitalar de Famalicão, Centro Hospitalar do Médio Ave
  • Cristina Miguel Department of Pediatrics and Neonatology, Unidade Hospitalar de Famalicão, Centro Hospitalar do Médio Ave
  • Susana Lopes Department of Pediatrics and Neonatology, Unidade Hospitalar de Famalicão, Centro Hospitalar do Médio Ave
  • Felisbela Rocha Department of Pediatrics and Neonatology, Unidade Hospitalar de Famalicão, Centro Hospitalar do Médio Ave
  • Cecília Martins Department of Pediatrics and Neonatology, Unidade Hospitalar de Famalicão, Centro Hospitalar do Médio Ave
  • Sónia Carvalho Department of Pediatrics and Neonatology, Unidade Hospitalar de Famalicão, Centro Hospitalar do Médio Ave

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v30.i1.20036

Keywords:

candidiasis, invasive fungal diseases, neonate

Abstract

Introduction: Congenital candidiasis is a rare intrauterine infection characterized by vesicular and pustular skin lesions appearing in the first six days of life.

Clinical case: The authors describe the case of a full-term infant presenting erythematous macules, vesicles and pustules involving the trunk and extremities and cervical burn-like dermatitis at birth. Mycological skin lesion culture was positive for Candida albicans. Blood culture was positive for methicillin-sensitive Staphylococcus aureus. After systemic antifungal and antibiotic therapy was started, the newborn remained asymptomatic with lesion improvement.

Discussion/ Conclusion: Herein is reported a case of congenital candidiasis in a full-term infant, with a successful recovery. The rarity of congenital candidiasis can lead to delayed diagnosis and unnecessary treatment. This case shows that fungal infection should be considered in the differential diagnosis of vesiculopustular skin lesions in neonates. Systemic therapy should be initiated if invasive candidiasis is suspected.

 

References

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Published

2021-04-06

How to Cite

Rolim, S., Figueirinha, J. ., Miguel, C., Lopes, S., Rocha, F., Martins, C., & Carvalho, S. (2021). Congenital candidiasis – a diagnostic challenge. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 30(1), 48–51. https://doi.org/10.25753/BirthGrowthMJ.v30.i1.20036

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Section

Case Reports

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