All rashes in the neonatal period are not benign: a rare case of congenital cutaneous candidiasis in a neonate with cholestasis

Bhavin Bhoraniya; Asmi Vora; Purbasha Mishra; Unnati Asari; Hetal Vora; Jeta Buch

doi:10.18203/2349-3291.ijcp20263326

Authors

Bhavin Bhoraniya Shardaben Hospital, NHL Medical College, Ahmedabad, Gujarat, India
Asmi Vora B. J. Medical College, Ahmedabad, Gujarat, India
Purbasha Mishra Department of Pediatrics, Shardaben Hospital, NHL Medical College, Ahmedabad, Gujarat, India
Unnati Asari Department of Pediatrics, Shardaben Hospital, NHL Medical College, Ahmedabad, Gujarat, India
Hetal Vora Department of Pediatrics, Shardaben Hospital, NHL Medical College, Ahmedabad, Gujarat, India
Jeta Buch Department of Dermatology, Shardaben hospital, NHL medical college, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20263326

Keywords:

Newborn, Congenital candidiasis, Neonatal rash, Cholestasis

Abstract

Neonatal rashes manifest in various forms-papular, pustular, vesicular, or bullous lesions-and both their morphology and the day of onset provide key diagnostic clues. Benign causes include erythema toxicum neonatorum, transient pustular melanosis, miliaria. It is important to distinguish them from pathological causes like bullous impetigo, neonatal herpes, neonatal varicella or genetic conditions. In this report, we describe a case of congenital candidiasis, presenting with generalized rash with varied morphology and had systemic involvement in form of cholestasis. A systematic approach with proper history, general examination and investigations leads to early diagnosis and reduces morbidity in these babies.

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