White chalky dermatitis in a very preterm neonate with fungal skin infection

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 …