ABSTRACT
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. Material y metodología. 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 pápulopústulo-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 and respiratory distress. Blood cultures, cutaneous biopsy of vesicular lesions, blood tests and lumbar puncture were performed. Results. Biochemistry and blood count showed a CRP of 5.7 mg/dl, leukocytosis with left shift and mild anemia. After 24 hr, the blood analyses showed an increase in a CRP (7.8 mg/dl) and increased progressively for three days; consequently, a lumbar puncture was performed. Blood culture was positive for Staphylococcus aureus. Cutaneous biopsy confirmed the cutaneous candidiasis. Conclusions. The early diagnosis is essential to prevent complications derived by the Candida albicans in newborns.
Subject(s)
Female , Humans , Infant, Newborn , Male , Pregnancy , Candidiasis, Cutaneous/congenital , Infectious Disease Transmission, Vertical , Administration, Cutaneous , Administration, Oral , Anti-Infective Agents/administration & dosage , Anti-Infective Agents/therapeutic use , Bacteremia/complications , Bacteremia/drug therapy , Bacteremia/microbiology , Bicarbonates/administration & dosage , Bicarbonates/therapeutic use , Coinfection , Candidiasis, Cutaneous/complications , Candidiasis, Cutaneous/diagnosis , Candidiasis, Cutaneous/drug therapy , Candidiasis, Cutaneous/pathology , Candidiasis, Cutaneous/transmission , Candidiasis, Vulvovaginal/transmission , Cefotaxime/administration & dosage , Cefotaxime/therapeutic use , Cerebrospinal Fluid/microbiology , Chlorhexidine/therapeutic use , Early Diagnosis , Emollients/administration & dosage , Emollients/therapeutic use , Miconazole/administration & dosage , Miconazole/therapeutic use , Pregnancy Complications, Infectious , Potassium Permanganate/administration & dosage , Potassium Permanganate/therapeutic use , Respiration Disorders/etiology , Sepsis/etiology , Staphylococcal Infections/complications , Staphylococcal Infections/drug therapy , Staphylococcal Infections/microbiology , Staphylococcus aureus/isolation & purification , Therapeutic IrrigationABSTRACT
Diaper dermatitis, also know as nappy rash, is an inflammation of the skin covered by nappy. It probably results due to an interaction of multiple factors like increased wetness, elevated pH due to urine, fecal enzymes and microorganisms under the nappy. It manifests as an erythematous rash occurring on the convex surfaces of skin under the nappy. Rashes resembling nappy dermatitis can also be caused by some diseases which may have serious systemic manifestations. Therefore it is essential to differentiate and treat them. The principle of treatment of diaper dermatitis is to keep the skin in the nappy area as dry as possible with frequent nappy change. The superabsorbent disposable diapers are known to reduce the incidence of diaper dermatitis. Barrier creams to protect the infant's skin and mild topical corticosteroids to reduce the inflammation are mainstays of therapy. The incidence and severity can be reduced by keeping the skin dry under the nappy and protected from irritants and infections.
Subject(s)
Candidiasis, Cutaneous/complications , Child, Preschool , Diagnosis, Differential , Diaper Rash/diagnosis , Diapers, Infant/adverse effects , Feces/enzymology , Humans , Hygiene , Infant , Infant, Newborn , Skin/physiopathology , Urine/physiologySubject(s)
Male , Female , Infant , Humans , Candidiasis, Cutaneous/complications , Diaper Rash/etiology , Prospective StudiesABSTRACT
Os autores fizeram um levantamento de 126 prontuários de pacientes internados nas enfermarias de Doenças Infecciosas e Parasitárias do Hospital Universitário C.F.F.-UFRJ e encontraram a candidose como manifestaçäo mais frequente - 44,44%, sífilis-18.25%, eczema seborréico-17,46% e sarcoma de Kaposi-14,28%. Apresentam outros dados de natureza epidemiológica sobre a doença
Subject(s)
Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Humans , Male , Female , Acquired Immunodeficiency Syndrome/complications , Opportunistic Infections/complications , Skin Diseases/complications , Candidiasis, Oral/complications , Candidiasis, Cutaneous/complications , Herpes Simplex/complications , Herpes Zoster/complications , Sarcoma, Kaposi/complications , Syphilis, Cutaneous/complicationsABSTRACT
Apresentam-se caso de pacientes portadora de lesäo única, úlcero-vegetante, localizada no 1/3 inferior da perna direita, causada pela Candida albicans. Submetida à terapêutica com Ketoconazol na dose de 400 mg diários durante o primeiro mês de tratamento e 200 mg diários no segundo mês, evoluiu para cura, sem recidiva e com negativaçäo do título de anticorpos anti Candida albicans (fixaçäo do complemento)