Congenital cutaneous candidiasis in a term newborn

Teresa Botelho, Neonatology Service, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal Inês Gameiro, Neonatology Service, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal Maria Relvas, Dermatovenereology Department Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal João Teixeira, Dermatovenereology Department Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal Mariana Batista, Department of Dermatology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal Ana Rodrigues-Silva, Neonatology Service, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal Patrícia Lapa, Neonatology Service, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal Joaquim Tiago, Neonatology Service, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal

Congenital cutaneous candidiasis (CCC) is a rare condition in neonates, mainly in term neonates, that develops in the 1st week of life. Its broad clinical spectrum makes it challenging to differentiate it from other exanthemas in the newborn. The involvement of palms and soles and the presence of pustules are important clinical clues for the differential diagnosis, with cultural examination confirming the diagnosis by identification of Candida spp. Treatment of clinically stable term neonates without evidence of invasive disease is currently controversial. We report a case of CCC in a term newborn with no evidence of invasive disease that evolved into a clinical cure after systemic and topical antifungal treatment.

Palabras clave: Congenital cutaneous candidiasis. Exanthema. Term newborn.