Maternal-Neonatal ReportsCongenital Cutaneous Candidiasis With Systemic Dissemination in a Preterm InfantMiras, Isabel MD*; Vierge, Eva MD†; García, Macarena MD‡; Arruza, Luis MD, PhD§; Criado, Enrique MD¶; Ramos, José Tomás MD, PhD‖; Martínez-Orgado, José MD, PhD**Author Information From the *Department of Pediatrics and Neonatology, Hospital Universitario de Guadalajara, Guadalajara, Spain †Division of Neonatology, Insituto del Niño y del Adolescente, Hospital Clinico San Carlos-IdISSC ‡Department of Pediatrics and Neonatology, Hospital Infanta Cristina, Parla §Department of Neonatology, Hospital Clínico San Carlos ¶Department of Neonatology, Hospital Clínico San Carlos ‖Head of the Department of Pediatrics, Hospital Clínico San Carlos/Universidad Complutense de Madrid **Head of the Department of Neoantology, Hospital Clínico San Carlos/Universidad Complutense de Madrid. Madrid, Spain. Accepted for publication January 7, 2021 The authors have no funding or conflicts of interest to disclose. Informed written consent was obtained from the parents for the publication of the case and the use of images of the baby. Address for correspondence: Isabel Miras, MD, Department of Pediatrics and Neonatology, Hospital Universitario de Guadalajara, Calle donantes de sangre sn, 19002 Guadalajara, Spain E-mail: [email protected], [email protected]. The Pediatric Infectious Disease Journal: June 2021 - Volume 40 - Issue 6 - p e230-e233 doi: 10.1097/INF.0000000000003080 Buy Metrics Abstract Congenital cutaneous candidiasis is an infrequent invasive fungal infection that usually appears in the first days of life. Extremely low birth weight infants are the most frequently affected. Classic presentation includes diffuse extensive erythematous rash with papules, plaques, pustules and vesicles, which later undergoes desquamation. Systemic dissemination is common in extremely low birth weight infants. Blood, urine and cerebrospinal fluid evaluation should be included in the initial assessment. Early and prolonged treatment has been associated with decreased mortality. We report the case of congenital cutaneous candidiasis in a preterm infant. Early skin lesion recognition allowed establishing adequate treatment in the first hours of life. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.