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Published on: March 6, 2019
Bronchopulmonary moniliasis in the newborn
1Sikl Institute of Pathological Anatomy, Charles University, Plzen, Czechoslovakia.
Abstract:
Ten instances of bronchopulmonary moniliasis due to C. albicans in neonatal infants, 1 to 11 days of age, are described. The incidence was 1.05% out of a total of 947 consecutive necropsies on neonates. Diagnosis was established by morphological identification of the fungi. Seven cases were associated with inflammatory exudation. In three cases inflammation was absent. Infection secondary to monilial vaginitis in the mother appears to have been over-emphasized. The more common mechanism appears to be aspiration after delivery.
Insights
Bronchopulmonary moniliasis, a fungal infection in newborns caused by Candida albicans, occurred in 1.05% of neonates. Aspiration after birth, not maternal infection, is the likely transmission route.
Area of Science:
- Medical Mycology
- Neonatal Pathology
- Infectious Diseases
Background:
- Bronchopulmonary moniliasis is a serious fungal infection in neonates.
- Candida albicans is a common cause of opportunistic infections.
Purpose of the Study:
- To describe ten cases of bronchopulmonary moniliasis in neonatal infants.
- To investigate the incidence and potential transmission routes of this infection.
Main Methods:
- Morphological identification of Candida albicans.
- Analysis of necropsy data from 947 neonates.
Main Results:
- Ten cases of bronchopulmonary moniliasis were identified in infants aged 1-11 days.
- The incidence was 1.05% of all neonate necropsies.
- Seven cases showed inflammation; three did not.
- Aspiration post-delivery was identified as the primary transmission mechanism over maternal vaginitis.
Conclusions:
- Bronchopulmonary moniliasis is a significant finding in neonatal necropsies.
- Aspiration is the predominant route of infection, challenging the emphasis on maternal transmission.
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