U. Friebe-hoffmann et al., Candida albicans chorioamnionitis associated with preterm labor and suddenintrauterine demise of one twin - A case report, J REPRO MED, 45(4), 2000, pp. 354-356
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.