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Congenital candidiasis limited to the nail plates
K D Arbegast1, L F Lamberty, J K Koh
1Department of Internal Medicine, University of Nebraska Medical Center, Omaha 68198-4360.
Pediatric Dermatology
|December 1, 1990
Abstract:
Numerous case reports have been published of patients with cutaneous congenital candidiasis and neonatal candidiasis; however, this is the first reported case of congenital candidiasis confined to the nail plates. A subplacental candidal abscess, funisitis, and demonstration of hyphal invasion of fetal nail plates supported the diagnosis.
Insights
This is the first reported case of congenital candidiasis affecting only the nail plates in newborns. Diagnosis was supported by evidence of Candida infection in the placenta and umbilical cord.
Area of Science:
- Neonatal dermatology
- Mycology
- Obstetrics
Background:
- Congenital and neonatal candidiasis are typically widespread skin infections.
- Previous cases have involved generalized cutaneous involvement.
Observation:
- A neonate presented with a unique presentation of candidiasis.
- The infection was exclusively localized to the nail plates.
Findings:
- The diagnosis was confirmed by identifying a subplacental candidal abscess.
- Funisitis (inflammation of the umbilical cord) was observed.
- Microscopic examination revealed fungal hyphae invading the fetal nail plates.
Implications:
- This case expands the known spectrum of congenital candidiasis presentations.
- Highlights the importance of considering localized fungal infections in neonates.
- Suggests potential for nail-specific antifungal treatments in affected infants.