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Generation of Fluorescent Protein Fusions in Candida Species
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Congenital candidiasis.

Chintaginjala Aruna1, Kolalapudi Seetharam1

  • 1Department of Dermatology, Venereology and Leprosy, Katuri Medical College, Guntur, Andhra Pradesh, India.

Indian Dermatology Online Journal
|December 16, 2014
PubMed
Summary
This summary is machine-generated.

Congenital candidiasis (CC) is a rare newborn skin condition. Early diagnosis and treatment of invasive Candida albicans infections are crucial to prevent severe complications and mortality.

Keywords:
Candidiasiscongenitalfluconazolepustular eruption

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Area of Science:

  • Neonatology
  • Infectious Diseases
  • Dermatology

Background:

  • Congenital candidiasis (CC) is a rare fungal infection in newborns, with fewer than 100 reported cases.
  • It manifests within the first six days of life, ranging from skin lesions to life-threatening systemic illness.
  • Prompt differentiation from other neonatal pustular conditions is vital to prevent complications.

Observation:

  • A neonate presented with a diffuse pustular eruption on an erythematous background affecting the face, trunk, and palms within 24 hours of birth.
  • Candida albicans was identified via potassium hydroxide (KOH) smear and culture from the pustular lesions.
  • The infant received intravenous fluconazole and topical ketoconazole for treatment.

Findings:

  • The neonate demonstrated a complete clinical improvement within two weeks of initiating antifungal therapy.
  • Diagnosis was confirmed by laboratory identification of Candida albicans in skin lesions.
  • Intravenous and topical antifungal treatment led to resolution of the congenital candidiasis.

Implications:

  • This case highlights the importance of recognizing congenital candidiasis in neonates presenting with pustular rashes.
  • Early and accurate diagnosis is critical for effective management and improved patient outcomes.
  • Timely treatment of CC can significantly reduce the high mortality rate associated with untreated invasive fungal infections in newborns.