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Infectious Diseases in Obstetrics and Gynecology
Volume 2017, Article ID 9060138, 11 pages
https://doi.org/10.1155/2017/9060138
Review Article

Candida Chorioamnionitis Leads to Preterm Birth and Adverse Fetal-Neonatal Outcome

1Department of Obstetrics and Gynecology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
2Department of Diagnostic Pathology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan

Correspondence should be addressed to Yohei Maki; pj.ca.u-ikazayim.dem@ikam_iehoy

Received 7 July 2017; Revised 4 September 2017; Accepted 20 September 2017; Published 17 October 2017

Academic Editor: David Baker

Copyright © 2017 Yohei Maki et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Candida chorioamnionitis is rare but can lead to neonatal infection, high mortality, and neurodevelopmental impairment. We aimed to investigate maternal clinical features and perinatal outcomes and discuss future management strategies. We reviewed the medical records of women with Candida chorioamnionitis at our hospital over a 10-year period () and previous published case reports and case series. The most prevalent Candida species was C. albicans (71.3% of the all cases). The most prevalent predisposing condition was preterm premature rupture of membranes (31/123, 25.2%), followed by pregnancy with a retained intrauterine contraceptive device (26/123, 21.1%) and pregnancy after in vitro fertilization (25/123, 20.3%). Preterm labor was the most common symptom (52/123, 42.3%), and only 13% of cases involved fever. Of the infants, 27% of the singletons and 23.8% of the twins were born before 22 gestational weeks, while 60% of the singletons and 76.2% of the twins were born at 22–36 weeks. The median birth weight of the babies born after 22 weeks was 1230 g. The mortality rates of the singletons and twins born after 22 weeks of gestation in the year 2000 or later were 28.6% and 52.4%, respectively. Antenatal treatment for Candida chorioamnionitis has not been established.