Intra amniotic candidiasis. Case report and meta-analysis of 54 cases
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H. Roqué
Abstract
We present a case of mid pregnancy loss with retained intrauterine contraceptive device associated with fetal Candida infection. Review of English literature identified 53 additional cases of fetal candidal infection, with 17 associated with an IUCD in situ. The presence of an IUCD was associated with delivery at a statistically significant earlier gestational age when compared to cases not associated with an IUCD (23.3 ± 4.9 vs 31.6 ± 7.0, p < 0.001). Seventy-seven percent of fetal candidal infections associated with an IUCD were systemic (heart, brain, liver, gastrointestinal, lung) compared to 33% of cases not associated with an IUCD. In contrast to bacterial intraamniotic infections there was a low incidence of maternal febrile morbidity. An hypothesis as to the pathogenesis of Candidal infections in the presence and absence of an IUCD is offered as well as a paradigm for the management of the gravid patient with an IUCD in situ.
Copyright (c)1999 by Walter de Gruyter GmbH & Co. KG
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Articles in the same Issue
- Measurement of the amniotic fluid index with and without Color Doppler
- Comparison of delayed absorbable suture v nonabsorbable suture for treatment of incompetent cervix
- Intra amniotic candidiasis. Case report and meta-analysis of 54 cases
- Factors relating to readmission of term and near term neonates in the first two weeks of life
- Congenital diaphragmatic hernia: Atypical presentation
- Real-time optical imaging of experimental brain ischemia and hemorrhage in neonatal piglets
- Ventricular dominance patterns in preterm infants
- One day old infant with acyanotic congenital heart disease: critical aortic stenosis
- Prenatal and perinatal risk factors for Tourette disorder
- The diagnostic role of "in utero” magnetic resonance imaging
- Effect of dexamethasone, triiodothyronine and dimethyl-isopropyl-thyronine on lung maturation of the fetal rat lung
- Yolk sac size and shape as predictors of poor pregnancy outcome
