A full-term infant with rash at birth. Congenital cutaneous candidiasis.

negative. There was no known maternal history of herpes simplex infection, candidal vaginitis, intrauterine device (IUD) usage, cervical cerclage, or amniocentesis. The mother tested positive for group B Streptococcus and received antibiotics before delivery. The mother had artifi cial rupture of membranes 2 hours before delivery, and there were no signs of chorioamnionitis. On examination, the infant was vigorous, afebrile, with only mild grunting, although gas exchange was good. On his skin were diffusely distributed, erythematous Adrian Florens, MD; Medha Kamat, MD; Tessy Joseph, MD; and Suma Pyati, MD, are with the Division of NeonatalPerinatal Medicine, John H. Stroger Hospital of Cook County, Chicago. Warren Piette, MD, and Giacomo Maggiolino, MD, are with the Division of Dermatology, John H. Stroger Hospital of Cook County. Dr. Florens; Dr. Kamat; Dr. Joseph; Dr. Piette; Dr. Maggiolino; and Dr. Pyati have disclosed no relevant fi nancial relationships. The authors would like to thank Cory Olans for his collaboration with the picture material. doi: 10.3928/00904481-20100825-05 Figure 1. Erythematous papules coalescing into plaques with overlying pinpoint vesiculopustules in face, neck, and trunk. These lesions were apparent at birth.