Candidiasis cutánea generalizada en recién nacido a término.

• Main Authors: Husein-El Ahmed, Husein, Cañadas-De la Fuente, Guillermo Arturo, Fernández-Castillo, Rafael, González-Jiménez, Emilio, Cantero-Hinojosa, Jesús, Lardón-Fernández, Marita
• Other Authors: Husein-El Ahmed,H; Cantero-Hinojosa,J; Lardón-Fernánde,M Hospital Universitario San Cecilio, Granada, España. Cañadas-De la Fuente,GA; González-Jiménez,E Facultad de Ciencias de la Salud, Universidad de Granada, Granada, España. Fernández-Castillo,R Hospital Universitario Virgen de las Nieves, Granada, España.
• Format: Article in Journal/Newspaper
• Language: Spanish
• Published: Instituto Nacional de Salud 2012
• Subjects: Infant; newborn; Candida albicans; Candidiasis; Candidemia neonatology; Staphylococcal skin infections; Recien nacido; Candidemia; Infecciones cutáneas estafilocócicas; Neonatología; Complicaciones infecciosas del embarazo; Coinfección; Diagnóstico precoz; Medical Subject Headings::Analytical; Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Drug Therapy::Drug Administration Routes::Administration; Oral; Medical Subject Headings::Chemicals and Drugs::Chemical Actions and Uses::Pharmacologic Actions::Therapeutic Uses::Anti-Infective Agents; Medical Subject Headings::Diseases::Bacterial Infections and Mycoses::Bacterial Infections::Bacteremia; Medical Subject Headings::Chemicals and Drugs::Inorganic Chemicals::Carbon Compounds; Inorganic::Carbonic Acid::Carbonates::Bicarbonates; Medical Subject Headings::Diseases::Bacterial Infections and Mycoses::Infection::Skin Diseases; Infectious::Dermatomycoses::Candidiasis; Cutaneous; Medical Subject Headings::Diseases::Bacterial Infections and Mycoses::Mycoses::Candidiasis::Candidiasis; Vulvovaginal; Medical Subject Headings::Chemicals and Drugs::Organic Chemicals::Amides::Lactams::beta-Lactams::Cephalosporins::Cephacetrile::Cefotaxime; Medical Subject Headings::Anatomy::Fluids and Secretions::Body Fluids::Extracellular Fluid::Cerebrospinal Fluid; Medical Subject Headings::Chemicals and Drugs::Organic Chemicals::Amidines::Guanidines::Biguanides::Chlorhexidine; Medical Subject Headings::Diseases::Bacterial Infections and Mycoses::Infection::Coinfection; Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Early Diagnosis; Medical Subject Headings::Chemicals and Drugs::Chemical Actions and Uses::Pharmacologic Actions::Therapeutic Uses::Dermatologic Agents::Emollients; Medical Subject Headings::Check Tags::Female; Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae; Medical Subject Headings::Named Groups::Persons::Age Groups::Infant::Infant; Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Disease Transmission; Infectious::Infectious Disease Transmission; Vertical; Medical Subject Headings::Chemicals and Drugs::Heterocyclic Compounds::Heterocyclic Compounds; 1-Ring::Azoles::Imidazoles::Miconazole; Medical Subject Headings::Chemicals and Drugs::Inorganic Chemicals::Manganese Compounds::Potassium Permanganate; Medical Subject Headings::Phenomena and Processes::Reproductive and Urinary Physiological Phenomena::Reproductive Physiological Phenomena::Reproductive Physiological Processes::Reproduction::Pregnancy; Medical Subject Headings::Diseases::Female Urogenital Diseases and Pregnancy Complications::Pregnancy Complications::Pregnancy Complications; Infectious; Medical Subject Headings::Diseases::Respiratory Tract Diseases::Respiration Disorders; Medical Subject Headings::Diseases::Bacterial Infections and Mycoses::Infection::Sepsis; Medical Subject Headings::Diseases::Bacterial Infections and Mycoses::Bacterial Infections::Gram-Positive Bacterial Infections::Staphylococcal Infections; Medical Subject Headings::Organisms::Bacteria::Endospore-Forming Bacteria::Gram-Positive Endospore-Forming Bacteria::Gram-Positive Endospore-Forming Rods::Staphylococcaceae::Staphylococcus::Staphylococcus aureus; Carbonic acid
• Online Access: http://hdl.handle.net/10668/1644; https://doi.org/10.1590/S0120-41572012000300002

Case Reports; English Abstract; Journal Article; Introducción. La candidiasis cutánea es una enfermedad que afecta tanto a población infantil como adulta. Las forma de presentación puede ser localizada o sistémica y el agente etiológico múltiple, siendo las especies infecciosas de Candida albicans más prevalentes en niños. Objetivo. Presentar un caso de candidiasis cutánea congénita cuya causa aparente fue la transmisión vertical durante el parto. Materiales y métodos. Se describe el caso de un recién nacido a término expuesto a una candidiasis vaginal subclínica, que desarrolló una candidiasis cutánea congénita por C. albicans asociada a sepsis y dificultad respiratoria en las primeras 24 horas de vida. Se practicaron hemocultivos, biopsia cutánea de las lesiones pápulo-pústulo-vesiculosas, análisis de sangre y punción lumbar. Resultados. En la bioquímica y el hemograma se encontró una proteína C reactiva de 5,7 mg/dl, leucocitosis con desviación a la izquierda y anemia leve. A las 24 horas, en el control se encontró una proteína C reactiva (7,82 mg/dl) que fue en aumento progresivo durante tres días, por lo que se practicó punción lumbar. El hemocultivo fue positivo para Staphylococcus aureus. La biopsia cutánea dio como resultado histológico la candidiasis cutánea. Conclusiones. El diagnóstico precoz es fundamental para prevenir complicaciones derivadas del cuadro producido por C. albicans en neonatos. INTRODUCTION Cutaneous candidiasis is a disease that affects children as well as adults. The presentation may be localized or systemic, and with multiple etiological agents. The most prevalent infecting species in children differs from that of the adult. OBJECTIVE A case is presented where a congenital cutaneous candidiasis was transmitted to the child during birth. MATERIALS AND METHODS A full term newborn was exposed to a subclinical vaginal candidiasis infection, and 24 hr after birth, developed congenital cutaneous candidiasis. The etiological agent was Candida albicans, and was associated with sepsis ...