Colonization of neonate skin by Malassezia species: relationship with neonatal cephalic pustulosis.
BACKGROUND
Colonization of neonate skin by Malassezia species and their causative role in neonatal cephalic pustulosis is unclear.


OBJECTIVE
We sought to determine the skin colonization by Malassezia in healthy newborns, and to investigate its association with neonatal cephalic pustulosis.


METHODS
Samples for Malassezia colonization were taken from cheeks and scalps of 104 neonates between 24 and 72 hours after birth, and again 2 or 4 weeks later. Pustules were sampled with concomitant nonlesional skin cultures if neonatal cephalic pustulosis was diagnosed.


RESULTS
Malassezia colonization increased significantly with age of the neonate (5% at the first week, 30% at 2-4 weeks). In all, 26 patients were given the diagnosis of neonatal cephalic pustulosis during follow-up. No correlation was found between the severity of the disease and Malassezia isolation. Skin colonization of patients with neonatal cephalic pustulosis (20.8%) was not higher than colonization of healthy newborns (37%).


CONCLUSIONS
Not all of the neonates were examined by the authors at the second visit.


CONCLUSIONS
Malassezia colonization increases after the first week of life. No correlation was found between neonatal cephalic pustulosis and Malassezia.
Ayhan
Meltem
M
Department of Dermatology, Hacettepe University, Ankara, Turkey.
Sancak
Banu
B
Karaduman
Ayşen
A
Arikan
Sevtap
S
Sahin
Sedef
S
D000152:Acne Vulgaris / Q000382:microbiology; D003881:Dermatomycoses / Q000382:microbiology*; D005148:Facial Dermatoses / Q000382:microbiology; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000382:microbiology*; D008290:Malassezia / Q000302:isolation & purification*; D008297:Male; D012867:Skin / Q000382:microbiology*