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Images in neonatal medicine
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

https://doi.org/10.1136/archdischild-2018-316451

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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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    Footnotes

    • RY and YH contributed equally.

    • Contributors YT drafted the initial manuscript and approved the final manuscript as submitted. RY reviewed and revised the manuscript, and approved the final manuscript as submitted. YH reviewed and revised the manuscript, and approved the final manuscript as submitted. KO supervised this case report totally, reviewed and revised the manuscript, and approved the final manuscript as submitted.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.