Vulvovaginal candidiasis during pregnancy is common, but serious complications, including chorioamnionitis, are infrequent. A 41-year-old woman presented at 37 weeks of gestation with reduced fetal movements, and fetal death in utero was subsequently confirmed on ultrasound. Histopathology of the cord and placenta revealed infection and microabscesses on the umbilical cord. Overall, these features are suggestive of ascending infection, consistent with as the causative organism. To the best of our knowledge, this is the first reported case of late stillbirth due to chorioamnionitis. More research is needed to determine the mechanism whereby becomes pathogenic in pregnancy. There is also no clear consensus on how to manage such patients in a subsequent pregnancy.
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| http://dx.doi.org/10.1016/j.crwh.2020.e00239 | DOI Listing |
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