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Candida sepsis following transcervical chorionic villi sampling.
1Infectious Diseases, Bnai Zion Medical Center, Rappaport Faculty of Medicine, Technion, Hafa, Israel.
Infectious Diseases in Obstetrics and Gynecology
|August 23, 2001
Summary
A rare case of Candida sepsis in pregnancy following chorionic villi sampling (CVS) was successfully treated. This highlights the importance of considering fungal infections in postpartum sepsis diagnoses.
Area of Science:
- Medical Microbiology
- Obstetrics and Gynecology
- Infectious Diseases
Background:
- Invasive procedures and broad-spectrum antibiotics contribute to increased candidal superinfections.
- Candida sepsis during pregnancy is uncommon.
- No prior reports exist of Candida sepsis after chorionic villi sampling (CVS).
Observation:
- A 31-year-old pregnant woman developed sepsis symptoms one day post-transcervical CVS.
- Blood cultures and curettage samples identified Candida albicans.
- The patient received a 4-week course of fluconazole (400 mg daily).
Findings:
- Successful treatment of Candida albicans sepsis in a pregnant patient post-CVS.
- Complete recovery achieved with systemic antifungal therapy.
- Demonstrates the viability of treating invasive candidiasis during pregnancy.
Implications:
- Candida sepsis is a potential complication following chorionic villi sampling.
- Clinicians should include fungal sepsis in the differential diagnosis for patients presenting with sepsis after CVS.
- Early recognition and treatment are crucial for favorable outcomes in pregnancy-associated candidiasis.