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Widespread Erythroderma and Desquamation in a Neonate

Widespread Erythroderma and Desquamation in a Neonate Abstract REPORT OF A CASE A 1590-g girl was born at 32 weeks' gestation to a 21-year-old Hispanic (gravida 4, para 3) who had a history of intravenous drug abuse and hepatitis B infection and no prenatal care before delivery. Her pregnancy was complicated by vaginal yeast infections during gestation. Premature labor began 1 hour before delivery with rupture of the membranes and leakage of clear, amniotic fluid. A spontaneous vaginal delivery was performed, and the infant was born floppy with no respiratory effort. Apgar score was 6/8 at 1 and 5 minutes. On initial presentation, a diffuse papular rash on an erythematous background was present on the chest, back, abdomen, buttocks, and face. No pustules were noted. The infant continued in respiratory distress and was intubated 4 hours after delivery. Intravenous ampicillin and gentamicin was begun. Initial laboratory tests showed the following values or results: leukocytes, 3.2X109/L, with 0.65 lymphocytes, 0.9 neutrophils, 0.5 band forms, 0.15 monocytes, and 0.6 eosinophils; human immunodeficiency virus, negative; and VDRL, nonreactive. No cultures were performed on the placenta or umbilical blood. References 1. Johnson DE, Thompson TR, Ferrieri P. Congenital candidiasis . AJDC. 1981;135:273-275. 2. Broberg A, Thiringer K. Congenital cutaneous candidiasis . Int J Dermatol. 1989;28:464-465.Crossref 3. Arbegast KD, Lamberty LF, Koh JK, Pergram JM, Braddock SW. Congenital candidiasis limited to the nail plates . Pediatrie Dermatol. 1990;7:310-312.Crossref 4. Flamm H. Die prantalen Infektionen des Menschen . Stuttgart, Germany: Georg Thieme Verlag; 1959:70. 5. Chapel TA, Gagliardi C, Nichols W. Congenital cutaneous candidiasis . J Am Acad Dermatol. 1979;6:926-928.Crossref 6. Delaplane D, Wiringa KS, Shulman ST, Yoger R. Mucocutaneous candidiasis following diagnostic amniocentesis . Am J Obstet Gynecol. 1983;147:342-343. 7. Weston WL, Lane AT. Color Textbook of Pédiatrie Dermatology . St Louis, Mo: Mosby-Year Book; 1991:61-62. 8. Butler KM, Gaker CJ. Candida: an increasingly important pathogen in the nursery . Pediatr Clin North Am. 1988;35:543-562. 9. Sonnenschein H, Clark HL, Taschdjian CL. Congenital cutaneous candidiasis in a premature infant . AJDC. 1960;99:81-85. 10. Sonnenschein H, Taschdjian CL, Clark DH. Congenital cutaneous candidiasis . AJDC. 1964;107:260-266. 11. Haberman S, Mendel EB, Hall DK. The incidence of Staphylo-cocous aureus and Candida albicans in pregnant women . Obstet Gynecol. 1962;20:639-642. 12. Oriel JD, Petridge BM, Denny MJ, et al. Genital yeast infections . BMJ. 1972;4:761-764.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Widespread Erythroderma and Desquamation in a Neonate

Glassman, B. D.; Muglia, J. J.
Archives of Dermatology , Volume 129 (7) – Jul 1, 1993
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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1993 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1993.01680280091019
Publisher site
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Abstract

Abstract REPORT OF A CASE A 1590-g girl was born at 32 weeks' gestation to a 21-year-old Hispanic (gravida 4, para 3) who had a history of intravenous drug abuse and hepatitis B infection and no prenatal care before delivery. Her pregnancy was complicated by vaginal yeast infections during gestation. Premature labor began 1 hour before delivery with rupture of the membranes and leakage of clear, amniotic fluid. A spontaneous vaginal delivery was performed, and the infant was born floppy with no respiratory effort. Apgar score was 6/8 at 1 and 5 minutes. On initial presentation, a diffuse papular rash on an erythematous background was present on the chest, back, abdomen, buttocks, and face. No pustules were noted. The infant continued in respiratory distress and was intubated 4 hours after delivery. Intravenous ampicillin and gentamicin was begun. Initial laboratory tests showed the following values or results: leukocytes, 3.2X109/L, with 0.65 lymphocytes, 0.9 neutrophils, 0.5 band forms, 0.15 monocytes, and 0.6 eosinophils; human immunodeficiency virus, negative; and VDRL, nonreactive. No cultures were performed on the placenta or umbilical blood. References 1. Johnson DE, Thompson TR, Ferrieri P. Congenital candidiasis . AJDC. 1981;135:273-275. 2. Broberg A, Thiringer K. Congenital cutaneous candidiasis . Int J Dermatol. 1989;28:464-465.Crossref 3. Arbegast KD, Lamberty LF, Koh JK, Pergram JM, Braddock SW. Congenital candidiasis limited to the nail plates . Pediatrie Dermatol. 1990;7:310-312.Crossref 4. Flamm H. Die prantalen Infektionen des Menschen . Stuttgart, Germany: Georg Thieme Verlag; 1959:70. 5. Chapel TA, Gagliardi C, Nichols W. Congenital cutaneous candidiasis . J Am Acad Dermatol. 1979;6:926-928.Crossref 6. Delaplane D, Wiringa KS, Shulman ST, Yoger R. Mucocutaneous candidiasis following diagnostic amniocentesis . Am J Obstet Gynecol. 1983;147:342-343. 7. Weston WL, Lane AT. Color Textbook of Pédiatrie Dermatology . St Louis, Mo: Mosby-Year Book; 1991:61-62. 8. Butler KM, Gaker CJ. Candida: an increasingly important pathogen in the nursery . Pediatr Clin North Am. 1988;35:543-562. 9. Sonnenschein H, Clark HL, Taschdjian CL. Congenital cutaneous candidiasis in a premature infant . AJDC. 1960;99:81-85. 10. Sonnenschein H, Taschdjian CL, Clark DH. Congenital cutaneous candidiasis . AJDC. 1964;107:260-266. 11. Haberman S, Mendel EB, Hall DK. The incidence of Staphylo-cocous aureus and Candida albicans in pregnant women . Obstet Gynecol. 1962;20:639-642. 12. Oriel JD, Petridge BM, Denny MJ, et al. Genital yeast infections . BMJ. 1972;4:761-764.Crossref

Journal

Archives of Dermatology – American Medical Association

Published: Jul 1, 1993

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