Fluconazole in Candida albicans sepsis during pregnancy: case report and review of the literature

Infection. 1996 May-Jun;24(3):263-6. doi: 10.1007/BF01781109.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Abortion, Septic / complications*
  • Adult
  • Antifungal Agents / therapeutic use*
  • Candida albicans / isolation & purification*
  • Candidiasis / complications
  • Candidiasis / drug therapy*
  • Candidiasis / microbiology
  • Endophthalmitis / complications*
  • Female
  • Fluconazole / therapeutic use*
  • Humans
  • Infant, Newborn
  • Pregnancy
  • Review Literature as Topic
  • Sepsis / complications
  • Sepsis / drug therapy*
  • Sepsis / microbiology

Substances

  • Antifungal Agents
  • Fluconazole