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Critical Situations
May 1999

Disseminated Congenital Candidiasis in a Premature Infant

Arch Dermatol. 1999;135(5):510-512. doi:10.1001/archderm.135.5.510

On September 26, 1997, a male infant was born to a 23-year-old gravida 2, para 1 woman. The pregnancy was complicated by premature rupture of the membranes at 19 weeks' gestation with subsequent oligohydramnios. At 25 weeks' gestation, the mother was seen in the clinic because for 2 days she had had vaginal spotting, fever, and mild abdominal tenderness. She was admitted to the hospital for the treatment of possible chorioamnionitis, and was started on a regimen of ampicillin sodium, 2 g intravenously every 6 hours; gentamicin sulfate, 120 mg intravenously every 8 hours; and clindamycin phosphate, 900 mg intravenously every 8 hours. Because of her previously mentioned complications, labor was artificially induced with oxytocin, and 2 doses of dexamethasone sodium phosphate, 6 mg, were intramuscularly administered to induce fetal pulmonary maturation.

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