Monilial Chorionitis Associated with an Intrauterine Contraceptive Device

Ai, Schweid; Gb, Hopkins

doi:10.1097/00006250-196805000-00021

Cited by 25 publications

(7 citation statements)

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“…In addition, this study reported a higher rate of intra-amniotic infection caused by Candida species in pregnancies with an IUD, than in those without an IUD. These findings are in agreement with previous reports demonstrating an association between intra-amniotic Candida infection and pregnancies with an IUD [8, 14, 28, 33, 46, 47, 50, 57]. Candida species are common saprophytes in the genital tract and are present in up to 20-25% of pregnant women [55].…”

Section: Discussionsupporting

confidence: 93%

“…Despite the frequent prevalence of vaginal Candida infection during pregnancy, intra-amnioitc infection caused by Candida species is rare. Previous studies suggested two mechanisms by which Candida species could gain access to the amniotic cavity in pregnancies with an IUD: 1) endometrial yeast contamination may be present at the time of IUD insertion [47]; and 2) the strings of an IUD may serve as a route for ascending infection [13]. Chassot et al [9] have demonstrated the in vitro adhesive capacity to IUDs of Candida albicans isolated from vaginal exudates of patients with vaginal candidiasis, and its formation of a biofilm which makes a progressive source of infection.…”

Section: Discussionmentioning

confidence: 99%

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The prognosis of pregnancy conceived despite the presence of an intrauterine device (IUD)

Kim

Romero²,

Kusanovic³

et al. 2010

Journal of Perinatal Medicine

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OBJECTIVE Intrauterine devices (IUDs) are used for contraception worldwide; however, the management of pregnancies with an IUD poses a clinical challenge. The purpose of this study was to determine the outcome of pregnancy in patients with an IUD. STUDY DESIGN A retrospective cohort study (December 1997-June 2007) was conducted. The cohort consisted of 12,297 pregnancies, of which 196 had an IUD. Only singleton pregnancies were included. Logistic regression analysis was used to adjust for potential confounders between the groups. RESULTS 1) Pregnancies with an IUD were associated with a higher rate of late miscarriage, preterm delivery, vaginal bleeding, clinical chorioamnionitis, and placental abruption than those without an IUD; 2) among patients with available histologic examination of the placenta, the rate of histologic chorioamnionitis and/or funisitis was higher in patients with an IUD than in those without an IUD (54.2% vs. 14.7%; p<.001). Similarly, among patients who underwent an amniocentesis, the prevalence of microbial invasion of the amniotic cavity (MIAC) was also higher in pregnant women with an IUD than in those without an IUD (45.9% vs. 8.8%; p<.001); and 3) intra-amniotic infection caused by Candida species was more frequently present in pregnancies with an IUD than in those without an IUD (31.1% vs. 6.3%; p<.001). CONCLUSION Pregnant women with an IUD are at a very high risk for adverse pregnancy outcomes. This finding can be attributed, at least in part, to the high prevalence of intra-amniotic infection and placental inflammatory lesions observed in pregnancies with an IUD.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

The prognosis of pregnancy conceived despite the presence of an intrauterine device (IUD)

Kim

Romero²,

Kusanovic³

et al. 2010

Journal of Perinatal Medicine

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“…Potasman and others reported that antibiotics, mainly belonging to the [3-1actam group, given to pregnant women with Candida vaginitis fostered the development of candidemia [16]. There is further evidence that foreign bodies such as intrauterine devices or intravenous catheters may act as portal of entry for C. albicans [11,[20][21][22]. Septicemia during pregnancy not only represents a teratogenic risk but also entails the danger of abortion.…”

Section: Literature Review and Discussionmentioning

confidence: 99%

Fluconazole inCandida albicans sepsis during pregnancy: Case report and review of the literature

Wiesinger¹,

Wenisch²,

Breyer³

et al. 1996

Infection

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Candida sepsis during pregnancy is a rare but life-threatening complication of infection with Candida albicans. In contrast to the situation with other antimicrobial agents, there exists only limited experience with systemic antifungal therapy during pregnancy. A recent report focuses on amphotericin B treatment in systemic fungal infection during pregnancy. The present report discusses a pregnant patient with Candida albicans sepsis and endophthalmitis as well as candida infection of the oral and genital mucous membranes, after hyperalimentation and broad spectrum antibiotic therapy via a central venous catheter. The patient was treated with 10 mg/kg fluconazole from week 16 of gestation for a total duration of 50 days. Adverse effects did not occur and the rest of the pregnancy proceeded favourably for both the mother and the baby.

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“…Usually, the diagnosis of diffuse and extensive chorio-amnionitis is suggested by the aspect of the fetal surface of the placenta (cases I and 4). Filaments and spores may not be found in this diflTuse inflammation, almost exclusively consisting of polynuclears [Benirschke and Raphael, 1958;Lopez andAterman, 1968: Schweid andHopkins, 1968]. However, the lesions may be focal as on the cord [Blanc, 1961: Ho andAterman.…”

Section: Commentmentioning

confidence: 98%

“…Schweid and Hopkins [1968], Aterman [1968], Misenhimer and Garc ia Buñuel and Aterman [1969], Ho [1970] and Blanc [personal commun.. 1973] report seven spontaneous abortions; in five cases, Candida albicans was the only pathogenic agent found; the fungus, present in the uterine cavity in a quiescent state, would be a factor of abortion as its virulence would be suddenly increased [Misenhimer and Garcia Buñuel. 1969], Sonnenschein et at.…”

Section: Commentmentioning

confidence: 99%

Congenital Mycosis <i>(Candida albicans)</i>

Schirar¹,

Rendu²,

Vielh³

et al. 1974

Neonatology

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Four new cases of congenital mycosis are described. Fifteen cases were found in the litterature. Although this fetal infection appears to be scarce, its frequency is probably underestimated. Because of the nature of lesions, it is possible to assume that Candida albicans ascends from the vagina through clinically undamaged membranes. The newborn may be a well-developed term baby, a premature, or a small-for-date baby; even miscarriage may happen. The physiopathology of this infection is discussed.

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Monilial Chorionitis Associated with an Intrauterine Contraceptive Device

Cited by 25 publications

References 0 publications

The prognosis of pregnancy conceived despite the presence of an intrauterine device (IUD)

The prognosis of pregnancy conceived despite the presence of an intrauterine device (IUD)

Fluconazole inCandida albicans sepsis during pregnancy: Case report and review of the literature

Congenital Mycosis <i>(Candida albicans)</i>

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