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An Ex vivo Assay to Study Candida albicans Hyphal Morphogenesis in the Gastrointestinal Tract
Published on: July 1, 2020
Candida funisitis: A clinicopathologic study of 32 cases
F Qureshi1, S M Jacques, R W Bendon
1Department of Pathology, Hutzel Hospital, 4707 St. Antoine Boulevard, Detroit, MI 48201, USA.
Summary
Candida funisitis, an umbilical cord infection, often co-occurs with chorioamnionitis and prematurity. Prompt diagnosis is crucial for identifying potential fetal infections beyond congenital candidiasis.
Area of Science:
- Medical Mycology
- Perinatology
- Pathology
Background:
- Candida funisitis is a rare umbilical cord infection.
- It is associated with adverse perinatal outcomes.
Purpose of the Study:
- To describe the clinicopathologic features of Candida funisitis.
- To identify associated risk factors and outcomes.
Main Methods:
- Retrospective case series analysis.
- Review of 32 cases of Candida funisitis.
- Clinicopathologic correlation.
Main Results:
- Candida funisitis presented as yellow-white nodules on the umbilical cord.
- All cases had coexisting chorioamnionitis.
- 75% of affected infants were premature, with 7 perinatal deaths.
- Congenital candidiasis occurred in 16% of fetuses.
- Intrauterine foreign bodies were noted in 16% of mothers.
Conclusions:
- Candida funisitis diagnosis necessitates thorough fetal infection evaluation.
- The condition is strongly linked to chorioamnionitis and prematurity.
- Congenital candidiasis is not always present, despite the fungal origin.
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