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

Published in Acta pædiatrica. 2004, vol. 93, no. 7, p. 996-9
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 & purificationCandidiasis, Cutaneous/diagnosis/microbiologyDiagnosis, DifferentialFemaleHumansInfant, NewbornMalePlacenta/microbiology/pathologyPregnancyPregnancy Complications, Infectious/diagnosis/microbiologySkin/microbiology/pathologyUmbilical Cord/microbiology/pathology
PMID: 15303819
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Research group Réanimation néonatale en salle d'accouchement (696)
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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. 996-9. doi: 10.1111/j.1651-2227.2004.tb02701.x https://archive-ouverte.unige.ch/unige:55642

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Deposited on : 2015-04-20

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