Congenital candidiasis – a diagnostic challenge

Detalhes bibliográficos
Autor(a) principal: Rolim, Sara
Data de Publicação: 2021
Outros Autores: Figueirinha, Joana, Miguel, Cristina, Lopes, Susana, Rocha, Felisbela, Martins, Cecília, Carvalho, Sónia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.16/2504
Resumo: Introduction: Congenital candidiasis is a rare intrauterine infection characterized by vesicular and pustular skin lesions appearing in the first six days of life. Clinical case: The authors describe the case of a full-term infant presenting erythematous macules, vesicles and pustules involving the trunk and extremities and cervical burn-like dermatitis at birth. Mycological skin lesion culture was positive for Candida albicans. Blood culture was positive for methicillin-sensitive Staphylococcus aureus. After systemic antifungal and antibiotic therapy was started, the newborn remained asymptomatic with lesion improvement. Discussion/ Conclusion: Herein is reported a case of congenital candidiasis in a full-term infant, with a successful recovery. The rarity of congenital candidiasis can lead to delayed diagnosis and unnecessary treatment. This case shows that fungal infection should be considered in the differential diagnosis of vesiculopustular skin lesions in neonates. Systemic therapy should be initiated if invasive candidiasis is suspected.
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spelling Congenital candidiasis – a diagnostic challengeCandidíase congénita – um desafio diagnósticocandidiasisinvasive fungal diseasesneonateIntroduction: Congenital candidiasis is a rare intrauterine infection characterized by vesicular and pustular skin lesions appearing in the first six days of life. Clinical case: The authors describe the case of a full-term infant presenting erythematous macules, vesicles and pustules involving the trunk and extremities and cervical burn-like dermatitis at birth. Mycological skin lesion culture was positive for Candida albicans. Blood culture was positive for methicillin-sensitive Staphylococcus aureus. After systemic antifungal and antibiotic therapy was started, the newborn remained asymptomatic with lesion improvement. Discussion/ Conclusion: Herein is reported a case of congenital candidiasis in a full-term infant, with a successful recovery. The rarity of congenital candidiasis can lead to delayed diagnosis and unnecessary treatment. This case shows that fungal infection should be considered in the differential diagnosis of vesiculopustular skin lesions in neonates. Systemic therapy should be initiated if invasive candidiasis is suspected.Centro Hospitalar Universitário do PortoRepositório Científico do Centro Hospitalar Universitário de Santo AntónioRolim, SaraFigueirinha, JoanaMiguel, CristinaLopes, SusanaRocha, FelisbelaMartins, CecíliaCarvalho, Sónia2021-10-04T09:46:49Z2021-032021-03-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.16/2504engRolim S, Figueirinha J, Miguel C, Lopes S, Rocha F, Martins C, Carvalho S, Nascer e Crescer - Birth and Growth Medical Journal 2021;30(1): 48-51. doi:10.25753/BirthGrowthMJ.v30.i1.200362183-941710.25753/BirthGrowthMJ.v30.i1.20036info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-20T11:00:56Zoai:repositorio.chporto.pt:10400.16/2504Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:38:43.031474Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Congenital candidiasis – a diagnostic challenge
Candidíase congénita – um desafio diagnóstico
title Congenital candidiasis – a diagnostic challenge
spellingShingle Congenital candidiasis – a diagnostic challenge
Rolim, Sara
candidiasis
invasive fungal diseases
neonate
title_short Congenital candidiasis – a diagnostic challenge
title_full Congenital candidiasis – a diagnostic challenge
title_fullStr Congenital candidiasis – a diagnostic challenge
title_full_unstemmed Congenital candidiasis – a diagnostic challenge
title_sort Congenital candidiasis – a diagnostic challenge
author Rolim, Sara
author_facet Rolim, Sara
Figueirinha, Joana
Miguel, Cristina
Lopes, Susana
Rocha, Felisbela
Martins, Cecília
Carvalho, Sónia
author_role author
author2 Figueirinha, Joana
Miguel, Cristina
Lopes, Susana
Rocha, Felisbela
Martins, Cecília
Carvalho, Sónia
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Centro Hospitalar Universitário de Santo António
dc.contributor.author.fl_str_mv Rolim, Sara
Figueirinha, Joana
Miguel, Cristina
Lopes, Susana
Rocha, Felisbela
Martins, Cecília
Carvalho, Sónia
dc.subject.por.fl_str_mv candidiasis
invasive fungal diseases
neonate
topic candidiasis
invasive fungal diseases
neonate
description Introduction: Congenital candidiasis is a rare intrauterine infection characterized by vesicular and pustular skin lesions appearing in the first six days of life. Clinical case: The authors describe the case of a full-term infant presenting erythematous macules, vesicles and pustules involving the trunk and extremities and cervical burn-like dermatitis at birth. Mycological skin lesion culture was positive for Candida albicans. Blood culture was positive for methicillin-sensitive Staphylococcus aureus. After systemic antifungal and antibiotic therapy was started, the newborn remained asymptomatic with lesion improvement. Discussion/ Conclusion: Herein is reported a case of congenital candidiasis in a full-term infant, with a successful recovery. The rarity of congenital candidiasis can lead to delayed diagnosis and unnecessary treatment. This case shows that fungal infection should be considered in the differential diagnosis of vesiculopustular skin lesions in neonates. Systemic therapy should be initiated if invasive candidiasis is suspected.
publishDate 2021
dc.date.none.fl_str_mv 2021-10-04T09:46:49Z
2021-03
2021-03-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.16/2504
url http://hdl.handle.net/10400.16/2504
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Rolim S, Figueirinha J, Miguel C, Lopes S, Rocha F, Martins C, Carvalho S, Nascer e Crescer - Birth and Growth Medical Journal 2021;30(1): 48-51. doi:10.25753/BirthGrowthMJ.v30.i1.20036
2183-9417
10.25753/BirthGrowthMJ.v30.i1.20036
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv Centro Hospitalar Universitário do Porto
publisher.none.fl_str_mv Centro Hospitalar Universitário do Porto
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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