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Miliaria is a common, transient cutaneous disease caused by obstruction of the eccrine sweat duct. A female patient who was admitted with the complaint of decreased sucking on the postnatal 15th day learned that after the postnatal 10th day, the sucking reflex decreased, the amount of urine decreased, and the number of stools per day decreased. We observed that the patient’s general condition was poor and that his weight loss was 31%. Fluid therapy was adjusted for the patient, whose serum sodium level was 192 mEq/L. On the 5th day, while the serum sodium level was 156 mEq/L and the body temperature was within normal limits, vesicles and bullae were detected in the body, especially in the trunk, and relatively few in the extremities. Although miliaria crystallina is a common skin problem in newborns, our case is the second documented case of miliaria crystallina due to hypernatremia in the literature. Physicians; It should be kept in mind that miliaria crystallina may be seen in the newborn during the treatment of severe hypernatremic dehydration.

The patient, who was born spontaneously to a 22-year-old mother as G1P1Y1 with a weight of 2605 g at 37 weeks of gestation, had an Activity, Pulse, Grimace, Appearance and Respiration (APGAR) of 8 and 5, respectively, at the first and fifth minutes APGAR 9. Physical examination revealed that the patient’s general condition was moderate: body temperature was 36.7 °C, respiratory rate was 68 beats per minute, heart rate was 146 beats per minute, blood pressure was 59/33 mmHg, saturation was 92%, both hemithoraxes participated equally in respiration, consciousness was clear, and the sucking reflex was weak. Because the mother had a history of premature membrane rupture for 22 hours, ampicillin and gentamicin were given intravenously after a blood culture. Leuconostoc lactis was grown in a blood culture sent by the patient. On the 12th day of her hospitalization, the patient was discharged with full oral feeding, had started to weigh regularly, and had good general condition, oral intake, and activity. Leuconostoc species should be kept in mind in vancomycin-resistant gram-positive infections. It should be kept in mind that Leuconostoc lactis may be a cause of Early-onset neonatal sepsis, albeit very rarely.