en
Scientific article
Case report
English

"White dots on the placenta and red dots on the baby": congential cutaneous candidiasis--a rare disease of the neonate

Published inActa pædiatrica, vol. 93, no. 7, p. 996-999
Publication date2004
Abstract

Cutaneous congenital candidiasis (CCC) is a very rare disease of the term or premature infant consisting of a generalized rash at or shortly after birth usually without other signs or symptoms. The presence of white microabscesses on the placenta and umbilical cord of an infant with such a rash must suggest the diagnosis of CCC, which is always secondary to Candida chorioamnionitis but may pass unrecognized. Despite the high prevalence of vulvo-vaginitis in pregnant women, Candida chorioamnionitis is rare and CCC remains apparently extremely rare with just some hundred cases described. However, as the condition is essentially benign and self-limited, underdiagnosis is likely. As occasional systemic spread of Candida infection is described and maternal complications may arise, diagnosis and a close follow-up or treatment is of importance. We present two cases of CCC, stressing the importance of sharing clinical findings between obstetrician and neonatologist for the diagnosis and subsequent management.

Keywords
  • Candida albicans/isolation & purification
  • Candidiasis, Cutaneous/diagnosis/microbiology
  • Diagnosis, Differential
  • Female
  • Humans
  • Infant, Newborn
  • Male
  • Placenta/microbiology/pathology
  • Pregnancy
  • Pregnancy Complications, Infectious/diagnosis/microbiology
  • Skin/microbiology/pathology
  • Umbilical Cord/microbiology/pathology
Citation (ISO format)
DIANA, Alessandro et al. ‘White dots on the placenta and red dots on the baby’: congential cutaneous candidiasis--a rare disease of the neonate. In: Acta pædiatrica, 2004, vol. 93, n° 7, p. 996–999. doi: 10.1111/j.1651-2227.2004.tb02701.x
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Article (Published version)
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ISSN of the journal0803-5253
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