Candida albicans chorioamnionitis associated with preterm labor and suddenintrauterine demise of one twin - A case report

BACKGROUND: Although cervicovaginal Candida infections occur in 20-25% of p regnancies, the incidence of ascending infection in these cases is only 0.8 %, and such infection rarely causes chorioamnionitis. CASE: Sudden intrauterine fetal demise (IUFD) of twin A occurred in a diabe tic primigravida presenting with a twin pregnancy and preterm labor at 33 w eeks of gestation. Placental pathology and autopsy of the still-born twin r evealed extensive chorioamnionitis and fetal sepsis in the presence of Cand ida albicans. Twin B was unaffected. CONCLUSION: In this case, C albicans chorioamnionitis seemed to be associat ed with sudden IUFD.