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J Pediatr Infect Dis 2012; 07(03): 131-134
DOI: 10.3233/JPI-120354
Case Report
Georg Thieme Verlag KG Stuttgart – New York

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

Walusa Assad Gonçalves-Ferri
a   Department of Pediatrics, Faculty of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
,
Diana Alburqueque Sato
a   Department of Pediatrics, Faculty of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
,
Fernando Silva Ramalho
b   Department of Pathology, Faculty of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
,
Ana Paula de Carvalho Panzeri Carlotti
a   Department of Pediatrics, Faculty of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
,
Geraldo Duarte
c   Department of Gynecology and Obstetrics, Faculty of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
,
Marisa Márcia Mussi-Pinhata
a   Department of Pediatrics, Faculty of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
› Author Affiliations
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Publication History

25 September 2012

02 October 2012

Publication Date:
28 July 2015 (online)

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Abstract

Congenital candidiasis is a rare condition and difficult to diagnose. We report a case of severe septic shock leading to death within six days of birth caused by disseminated candidiasis without cutaneous manifestations in a late preterm infant. We speculate that the use of drugs for treatment of gestational toxoplasmosis in a mother colonized by Candida species facilitated this occurrence.

Keywords

Congenital candidiasis - systemic candidiasis - sepsis - infant neonate