Congenital cutaneous candidiasis associated with respiratory distress in a full-term newborn

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Faten Tinsa
Khadija Boussetta
Dalel Ben Hassine
Monia Kharfi
Souad Bousnina

Abstract

Background: Congenital candidiasis is rare occurring in most cases in premature and low birth weight new born. It can produce a spectrum of disease ranging from a diffuse skin eruption to a severe systemic disease with or without skin involvement. Amphotericin B is the first-line agent for the treatment of systemic disease.
Aim: To describe a congenital candidiasis in a full-term new born.
Case report: At birth, the newborn had a generalized, erythematous, papulovesicular eruption. He was treated by topic antifungal therapy.
However, on the third day, he developed a systemic disease with respiratory distress and fever. Ear, skin swab and gastric aspirate grew to Candida albicans. The new born was given fluconazole for 10 days with favourable outcome.
Conclusion: Early topic therapy did not prevent systemic spread of congenital cutaneous candidiasis in our case. Treatment with fluconazole, as the first- line agent, seems effective and safety.

Keywords:

Congenital cutaneous candidiasis

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