1/3. Intra-uterine Candida infection: a report of four infected fetusses from two mothers.Although candida albicans is a frequent inhabitant of the female genital tract, chorioamnionitis is rarely caused by this fungal organism. In this report we present two cases with manifest Candida chorioamnionitis. The first case is a twin pregnancy with premature delivery and survival of both twins. The second case is a pregnancy with intra-uterine contraceptive device in situ ending in a midtrimester abortion, followed by the next pregnancy also ending in an abortion in the second trimester. Possible triggers responsible for the increased invasiveness of otherwise benign Candida vaginitis are discussed. Foreign intra-uterine bodies such as contraceptive devices and cerclage sutures necessitate repetitive search for Candida species infection, and prompt adequate antifungal treatment in cases of documented infection. Both cases of the present report add further substantial evidence to the hypothesis of amniotic infection by ascending transcervical infection. The frequent concomitant cervical infections with other infectious agents as well as antibiotherapy influencing the normal Lactobacillary defence mechanisms are both likely to increase the risk. Systemic debilitating diseases that promote invasiveness are briefly discussed.- - - - - - - - - - ranking = 1keywords = chorioamnionitis (Clic here for more details about this article) |
2/3. Preterm labor and congenital candidiasis. A case report.Intrauterine infection with Candida is a rare complication of pregnancy. We report a case of preterm labor associated with Candida chorioamnionitis and the subsequent delivery of an infant with congenital Candida infection. We also discuss possible factors responsible for the increased invasiveness of this usually benign condition and management considerations once the diagnosis is made.- - - - - - - - - - ranking = 0.5keywords = chorioamnionitis (Clic here for more details about this article) |
3/3. candida tropicalis chorioamnionitis.A case of candida tropicalis chorioamnionitis at 25 weeks' gestation is presented, and the literature is reviewed. This is the first report, to our knowledge, of C. tropicalis diagnosed antenatally with confirmed congenital infection.- - - - - - - - - - ranking = 2.5keywords = chorioamnionitis (Clic here for more details about this article) |