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White chalky dermatitis in a very preterm neonate with fungal skin infection
  1. Yutaro Tomobe1,
  2. Ryu Yoneda2,
  3. Yuho Horikoshi2,
  4. Kaoru Okazaki1
  1. 1 Division of Neonatology, Tokyo Metroplitan Children’s Medical Center, Fuchu, Tokyo, Japan
  2. 2 Division of Infectious Diseases, Tokyo Metropolitan Children’s Medical Center, Fuchu, Tokyo, Japan
  1. Correspondence to Dr Yutaro Tomobe, Division of Neonatology, Tokyo Metropolitan Children’s Medical Center, Fuchu, Tokyo 183-8561, Japan; ytr.tomobe{at}gmail.com

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A female infant was delivered vaginally at 22 weeks and 5 days of gestation with a birth weight of 480 g due to chorioamnionitis. Low-dose intravenous micafungin at 1 mg/kg/day was started for fungal prophylaxis as part of the routine treatment. On day 4, white, chalky lesions were noted on the chest, axillae, back and umbilicus figure 1. Dermatitis on the right femur progressed to a crusty lesion figure 2. A …

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