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Early neonatal cutaneous candidiasis.

M López-Linares, F Pérez Iglesias, M Lillo Lillo

Helvetica Paediatrica Acta

|August 1, 1984

Summary

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Early neonatal cutaneous candidiasis, a Candida albicans infection, presents within hours of birth. This case highlights the importance of recognizing and differentiating early neonatal from congenital cutaneous candidiasis.

Area of Science:

Neonatal dermatology
Mycology
Infectious diseases

Background:

Neonatal candidiasis is a significant concern, particularly in premature infants.
Cutaneous candidiasis can manifest in newborns through maternal transmission during delivery.

Observation:

A premature infant developed widespread Candida albicans skin lesions 12 hours after birth.
Maternal vaginal candidiasis was identified as the likely source of infection.
Lesions involved the face, trunk, extremities, palms, soles, and oral mucosa.

Findings:

The infant's cutaneous manifestations resolved completely within four weeks.
The study proposes distinct terminology: 'early neonatal cutaneous candidiasis' for post-delivery onset and 'congenital cutaneous candidiasis' for lesions present at birth.

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Implications:

Accurate classification of neonatal cutaneous candidiasis is crucial for appropriate management.
Understanding transmission routes aids in preventing and treating neonatal fungal infections.
Early diagnosis and intervention can lead to favorable outcomes in neonatal candidiasis.