Congenital <i>Candida krusei</i> Sepsis in an Extremely Preterm Baby: Case Report and Literature Review

A preterm neonate born at 24 + 5 weeks gestation developed congenital <i>Candida krusei</i> sepsis, diagnosed via placental culture, axillary swab, and elevated beta-glucan levels. Although initial blood cultures were negative, continuous HeRo monitoring played a crucial role in the earl...

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Main Authors: Francesca Cossovel, Silvia Nider, Jenny Bua, Elena Ghirigato, Monica Piccoli, Paolo Manzoni, Laura Travan
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Antibiotics
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Online Access:https://www.mdpi.com/2079-6382/14/7/666
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author Francesca Cossovel
Silvia Nider
Jenny Bua
Elena Ghirigato
Monica Piccoli
Paolo Manzoni
Laura Travan
author_facet Francesca Cossovel
Silvia Nider
Jenny Bua
Elena Ghirigato
Monica Piccoli
Paolo Manzoni
Laura Travan
author_sort Francesca Cossovel
collection DOAJ
description A preterm neonate born at 24 + 5 weeks gestation developed congenital <i>Candida krusei</i> sepsis, diagnosed via placental culture, axillary swab, and elevated beta-glucan levels. Although initial blood cultures were negative, continuous HeRo monitoring played a crucial role in the early detection of clinical deterioration, prompting timely antifungal therapy with amphotericin B followed by micafungin. This proactive approach, combining prompt diagnosis, HeRo surveillance, and tailored treatment, ensured a favorable outcome. Our case underscores the value of HeRo monitoring as an early warning tool in managing neonatal fungal infections.
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series Antibiotics
spelling doaj-art-c8c55cbcaf884c67955ca93fca6f8ffe2025-08-20T03:13:41ZengMDPI AGAntibiotics2079-63822025-06-0114766610.3390/antibiotics14070666Congenital <i>Candida krusei</i> Sepsis in an Extremely Preterm Baby: Case Report and Literature ReviewFrancesca Cossovel0Silvia Nider1Jenny Bua2Elena Ghirigato3Monica Piccoli4Paolo Manzoni5Laura Travan6Department of Neonatology, Institute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, ItalyDepartment of Neonatology, Institute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, ItalyDepartment of Neonatology, Institute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, ItalyDepartment of Medical, Surgical and Health Sciences, University of Trieste, 34127 Trieste, ItalyDepartment of Obstetrics and Gynecology, Institute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, ItalyDepartment of Pediatrics and Neonatology, University Hospital Degli Infermi, 13875 Biella, ItalyDepartment of Neonatology, Institute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, ItalyA preterm neonate born at 24 + 5 weeks gestation developed congenital <i>Candida krusei</i> sepsis, diagnosed via placental culture, axillary swab, and elevated beta-glucan levels. Although initial blood cultures were negative, continuous HeRo monitoring played a crucial role in the early detection of clinical deterioration, prompting timely antifungal therapy with amphotericin B followed by micafungin. This proactive approach, combining prompt diagnosis, HeRo surveillance, and tailored treatment, ensured a favorable outcome. Our case underscores the value of HeRo monitoring as an early warning tool in managing neonatal fungal infections.https://www.mdpi.com/2079-6382/14/7/666congenital candida<i>Candida krusei</i>preterm baby
spellingShingle Francesca Cossovel
Silvia Nider
Jenny Bua
Elena Ghirigato
Monica Piccoli
Paolo Manzoni
Laura Travan
Congenital <i>Candida krusei</i> Sepsis in an Extremely Preterm Baby: Case Report and Literature Review
Antibiotics
congenital candida
<i>Candida krusei</i>
preterm baby
title Congenital <i>Candida krusei</i> Sepsis in an Extremely Preterm Baby: Case Report and Literature Review
title_full Congenital <i>Candida krusei</i> Sepsis in an Extremely Preterm Baby: Case Report and Literature Review
title_fullStr Congenital <i>Candida krusei</i> Sepsis in an Extremely Preterm Baby: Case Report and Literature Review
title_full_unstemmed Congenital <i>Candida krusei</i> Sepsis in an Extremely Preterm Baby: Case Report and Literature Review
title_short Congenital <i>Candida krusei</i> Sepsis in an Extremely Preterm Baby: Case Report and Literature Review
title_sort congenital i candida krusei i sepsis in an extremely preterm baby case report and literature review
topic congenital candida
<i>Candida krusei</i>
preterm baby
url https://www.mdpi.com/2079-6382/14/7/666
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