Congenital cutaneous candidiasis (CCC) presents within the first 6 days of life as a skin eruption caused by Candida spp. [latunisiemedicale.com]

• Respiratory Distress

  This patient developed at 50 hours of life a secondary respiratory distress with tachypnea of 80 breaths per minute, sub-costal retractions and fever of 39°C. Chest X ray showed bilateral lungs infiltrates. [latunisiemedicale.com]

• Skin Lesion

  Ear, anus and gastric swabs and skin lesion sample were performed. The new born was treated with topical antifungal therapy (Econazole). [latunisiemedicale.com]

Amphotericin B is the first-line agent for treatment for 21 days and the use of fluconazole may be considered when toxicity to amphotericin B is prohibitive and the organism is susceptible, although data to support its use for treatment of systemic candidal [latunisiemedicale.com]

In our patient, early topic therapy did not prevent systemic spread. The current recommendation is to start antifungal therapy when the disease has systemic involvement or extensive burn-like dermatitis. [latunisiemedicale.com]