Candidosis, congenital cutaneous B37.5

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Congenital cutaneous candidiasis

Definition
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Generalized Candida infection of the skin at birth with disseminated erythema and pinhead-sized papules that can conflate to form erythroderma.

Pathogen
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Candida albicans is most frequently isolated.

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Etiopathogenesis
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Following an ascending amniotic infection, a generalized candida infection of the fetus may occur intrauterine.

Localization
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Generalized infestation.

Clinical features
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Initially development of small macular erythema, partly also miliary pustules. Confluence to larger, mostly weeping areas. Frequent development of erythroderma. A sweetish yeast smell is typical. In contrast to neonatal candidosis, there is usually no oral thrush.

Diagnosis
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Clinic, detection of yeast in cultures from skin swabs.

Differential diagnosis
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Erythroderma of another genesis.

Progression/forecast
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In immature premature babies, the risk of Candida sepsis is significantly increased (2-4% of premature babies with a birth weight < 1000 g).

Note(s)
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Candida infections can be transmitted vertically or horizontally in newborns. Risk factors are premature rupture of the bladder and antibiotic therapy for pregnant women.

Outgoing links (2)

Candida albicans; Erythrodermia;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020