title: Thyroid abnormalities in term infants with fungal sepsis.
abstract: To describe thyroid alterations in term newborns (TNB) with fungal sepsis during NICU hospitalization.
  The study included six TNB that during the clinical and laboratory manifestations of sepsis with positive cultures for fungus showed changes in thyroid hormones, called low T3 syndrome and low T3-T4 syndrome. TNB that could present hormonal changes caused by disease as those born to mothers with thyroid disease, or who had perinatal asphyxia and major surgeries were excluded.
  Of six TNB with fungal sepsis, five had positive culture for Candida albicans and one had positive culture for Candida tropicalis. Low T3 syndrome was observed in two TNB (50%), while T3-T4 syndrome was observed in other two (100%). The four children progressed to septic shock.
  Fungal sepsis is becoming more common among newborns admitted to NICU. Thyroid insufficiency could be a marker of disease severity with possible need for hormone supplementation.
authors.affiliation: MSc from Faculdade de Medicina, Universidade de São Paulo (FMUSP). Assistant Physician, Neonatal Intensive Care Center (CTIN-2), Instituto da Criança, Hospital das Clínicas (HC-FMUSP), São Paulo, SP, Brazil.
authors.forename: Maria Helena Baptista Nunes da
authors.initials: MH
authors.lastname: Silva
authors.affiliation: PhD in Neonatology from FMUSP. Coordinator of Complementary Medicine, Instituto da Criança, HC-FMUSP, São Paulo, SP, Brazil.
authors.forename: Maria Cristina Korbage de
authors.initials: MC
authors.lastname: Araujo
authors.affiliation: Associate Professor, FMUSP. Head of Neonatology Research, Hospital Universitário (HU-FMUSP), São Paulo, SP, Brazil.
authors.forename: Edna Maria de Albuquerque
authors.initials: EM
authors.lastname: Diniz
authors.affiliation: PhD in Neonatology from FMUSP. Head of the CTIN-2, Instituto da Criança, HC-FMUSP, São Paulo, SP, Brazil.
authors.forename: Maria Esther Jurfest Rivero
authors.initials: ME
authors.lastname: Ceccon
authors.affiliation: Full Professor of Intensive Care/Neonatology at FMUSP and Instituto da Criança, HC-FMUSP, São Paulo, SP, Brazil.
authors.forename: Werther Brunow de
authors.initials: WB
authors.lastname: Carvalho
mesh_terms: D002176:Candida albicans / Q000302:isolation & purification; D041022:Candida tropicalis / Q000302:isolation & purification; D058387:Candidemia / Q000097:blood* / Q000382:microbiology; D005067:Euthyroid Sick Syndromes / Q000382:microbiology*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000097:blood* / Q000382:microbiology; D015931:Intensive Care, Neonatal; D008297:Male; D018805:Sepsis / Q000097:blood* / Q000382:microbiology