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Premature delivery due to intrauterine Candida infection that caused neonatal congenital cutaneous candidiasis: A case report
Author(s) -
Ito Fumitake,
Okubo Tomoharu,
Yasuo Tadahiro,
Mori Taisuke,
Iwasa Koichi,
Iwasaku Kazuhiro,
Kitawaki Jo
Publication year - 2013
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2012.01938.x
Subject(s) - chorioamnionitis , medicine , gestation , umbilical cord , obstetrics , placenta , systemic candidiasis , pregnancy , premature rupture of membranes , candida albicans , mycosis , endometritis , meconium , rupture of membranes , fetus , dermatology , surgery , immunology , antifungal , corpus albicans , biology , genetics
Congenital cutaneous candidiasis is a very rare disease with less than 100 cases published in the medical literature. Neonates having this disease present with systemic skin lesions caused by intrauterine Candida infections. We present a case of threatened premature delivery due to Candida chorioamnionitis, which caused both maternal postpartum endometritis and neonatal congenital cutaneous candidiasis. A 34‐year‐old woman who was admitted for fetal membrane bulging at 20 weeks of gestation underwent McDonald cervical cerclage. We diagnosed threatened premature delivery due to intrauterine infection; therefore, we terminated the gestation by cesarean section at 24 weeks of gestation. Fungi‐like yeast was detected in infantile gastric juice. Histopathological findings of the placenta revealed that Candida albicans mycelium invaded the placenta, chorioamniotic membrane and umbilical cord.