title: Maternal sepsis, chorioamnionitis, and congenital Candida kefyr infection in premature twins.
abstract: This is the first reported case of maternal sepsis and placental transmission of Candida kefyr to premature fraternal twins. The mother consumed organic dairy products regularly throughout her pregnancy and developed sepsis with chorioamnionitis caused by C. kefyr. The twins developed respiratory distress at birth. The placenta, fetal membranes, and umbilical cords showed numerous colonies of yeasts, subsequently identified as C. kefyr. C. kefyr sepsis in preterm neonates should be considered when there is a significant maternal history of organic dairy product consumption during pregnancy.
authors.affiliation: Department of Pediatrics, St. Joseph's Children's Hospital, Paterson, NJ, USA. pinedacarol27@hotmail.com
authors.forename: Carol
authors.initials: C
authors.lastname: Pineda
authors.forename: Ashlesha
authors.initials: A
authors.lastname: Kaushik
authors.forename: Helen
authors.initials: H
authors.lastname: Kest
authors.forename: Brian
authors.initials: B
authors.lastname: Wickes
authors.forename: Adel
authors.initials: A
authors.lastname: Zauk
mesh_terms: D000328:Adult; D002175:Candida / Q000302:isolation & purification*; D002177:Candidiasis / Q000151:congenital* / Q000382:microbiology / Q000635:transmission*; D002821:Chorioamnionitis / Q000175:diagnosis* / Q000382:microbiology; D005321:Extraembryonic Membranes / Q000382:microbiology; D005260:Female; D006801:Humans; D008297:Male; D010920:Placenta / Q000382:microbiology; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000382:microbiology; D047928:Premature Birth; D018805:Sepsis / Q000150:complications* / Q000382:microbiology; D014427:Twins; D014470:Umbilical Cord / Q000382:microbiology