Congenital candidiasis presenting as septic shock without rash

Carmo, Kathryn Browning; Evans, Nick; Isaacs, David

doi:10.1136/adc.2007.115865

Cited by 17 publications

(15 citation statements)

References 5 publications

(10 reference statements)

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“…Five twin pairs were collected through the MEDLINE search as far back as to 2000. 2 3 4 5 6 Plus this case report, there were six twin pairs in total. Their clinical data are summarized in Tables 1 and 2 .…”

Section: Review Of the Literaturementioning

confidence: 82%

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Congenital Systemic Fungus Infection in Twin Prematurity—A Case Report and Literature Review

Chen

Tsai

et al. 2015

AJP Rep

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Congenital candidemia sepsis is a serious condition especially for the prematurity. Early recognition is always not the scenario and this leads to high morbidity and mortality. Twin pregnancy complicates the problems further. This report presents a case of congenital candidiasis in a twin preterm and literatures review of five twin pairs with the same scenario. In conclusion, for twin prematurity, if one is suspected to have invasive candidiasis, both of them should receive a full course of antifungal therapy through the intravenous route.

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Section: Review Of the Literaturementioning

confidence: 82%

“…Early recognition is not easy and this leads to grave outcome. 1 2 Twin pregnancy further complicates the problems further; if one of the twins is infected, how risky another twin is? Besides, twin pregnancy always results in prematurity and low birth body weight (BBW); both render them more risky in comparison with the term babies.…”

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confidence: 99%

Congenital Systemic Fungus Infection in Twin Prematurity—A Case Report and Literature Review

Chen

Tsai

et al. 2015

AJP Rep

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“…Vaginal candidiasis, birth weight < 1000 g and use of intrauterine device or cerclage are known as risk factors for the systemic form [9]. Few reports have described disseminated Candida albicans infection in infants from mothers with chronic conditions such as diabetes [5] or submitted to an invasive procedure for amniotic fluid reduction due to polyhydramnios closely before delivery [4]. To our knowledge, treatment for toxoplasmosis has not been described as a risk factor for congenital candidiasis.…”

Section: Discussionmentioning

confidence: 99%

“…The occurrence of death in infants with congenital candidiasis is rare and may occur in utero or in the immediate neonatal period, and is directly related to the degree of prematurity [4]. The literature review of cases with systemic involvement showed that patients who presented pneumonia, sepsis, septic shock, and meningitis associated with characteristic skin lesions have higher risk of death [4,6,12].…”

Section: Discussionmentioning

confidence: 99%

“…Early diagnosis is a challenge in these cases, since the clinical manifestations of fungal sepsis are very similar to those of bacterial sepsis and risk factors are poorly defined [4]. The diagnosis of fungal sepsis depends on a high index of suspicion, the presence of risk factors and, especially, a good communication between the obstetrician and the neonatologist [2].…”

Section: Discussionmentioning

confidence: 99%

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Congenital systemic candidiasis without skin lesions presenting as septic shock in a late preterm infant

Gonçalves‐Ferri

Sato

Ramalho

et al. 2015

J Pediatr Infect Dis

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Skin and Soft Tissue Infections

Isaacs¹

2013

Evidence‐Based Neonatal Infections

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The skin and its appendages, and the subcutaneous tissue, deep fascia and muscle, can all develop infections under various circumstances. Patients with skin and soft-tissue infections (SSTIs) often initially present to family physicians. The signs and symptoms of SSTIs may overlap, making a comprehensive diagnosis difficult. 1,2 Early clinical presentation may be deceptively innocent. 3 Furthermore, at presentation it is often difficult to assess the depth, severity and specific structures or tissues involved. All SSTIs represent a continuum of symptoms and should be considered collectively: • Erythema, warmth, oedema, skin discoloration and localised pain are common presenting signs in the case of superficial, complicated or deep infections. Epidemiology SSTIs are common bacterial infections seen by family practitioners and surgeons. They account for a substantial portion of Skin and soft-tissue infec tions The early clinical presentation of soft-tissue infections may be deceptive.

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Congenital candidiasis presenting as septic shock without rash

Cited by 17 publications

References 5 publications

Congenital Systemic Fungus Infection in Twin Prematurity—A Case Report and Literature Review

Congenital Systemic Fungus Infection in Twin Prematurity—A Case Report and Literature Review

Congenital systemic candidiasis without skin lesions presenting as septic shock in a late preterm infant

Skin and Soft Tissue Infections

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