Asymptomatic amniotic fluid invasion with Candida albicans in preterm premature rupture of membranes. Implications for obstetric and neonatal management.
A case of asymptomatic intraamniotic infection with Candida albicans in a woman presenting with preterm premature rupture of membranes is reported. Active prenatal diagnostic procedures and prompt and accurate neonatal treatment (Amphotericin B) improved significantly the usually poor outcome of these pregnancies.
Department of Obstetrics and Gynecology, Soroka Medical Center of Kupat Holim, Beer Sheva, Israel.
M
M
Mazor
W
W
Chaim
E S
ES
Shinwell
M
M
Glezerman
D000328:Adult; D000653:Amniotic Fluid / Q000382:microbiology; D000666:Amphotericin B / Q000627:therapeutic use; D002176:Candida albicans / Q000302:isolation & purification; D002177:Candidiasis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D002821:Chorioamnionitis / Q000382:microbiology*; D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000150:complications* / Q000382:microbiology; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000188:drug therapy / Q000382:microbiology; D007654:Ketoconazole / Q000627:therapeutic use; D008297:Male; D008478:Mediastinal Emphysema / Q000188:drug therapy / Q000382:microbiology; D011014:Pneumonia / Q000188:drug therapy / Q000382:microbiology; D011247:Pregnancy
D000666:Amphotericin B; D007654:Ketoconazole