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      Coccidioidal Placentitis With Normal Umbilical Artery Velocimetry

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          Abstract

          Background: Disseminated coccidiomycosis during pregnancy can lead to both maternal and neonatal mortality. Placentitis is an uncommon sequelae and its effect on placental function remains speculative. The present report describes our management of such a case and describes serial umbilical artery velocimetry of an affected placenta.

          Case: A pregnant woman with coccidioidal placentitis confirmed histologically was treated with systemic and intrathecal amphotericin B starting at 28 weeks gestation. Serial umbilical artery velocimetry revealed that all systolic/diastolic ratios remained normal, and a normal infant was delivered at term.

          Conclusion: Coccidioidal placentitis was successfully treated with amphotericin B; serial umbilical artery velocimetry monitoring exhibited no abnormalities and, along with other reassuring fetal parameters, allowed continuation of the pregnancy to term.

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          Author and article information

          Journal
          Infect Dis Obstet Gynecol
          Infectious Diseases in Obstetrics and Gynecology
          Hindawi Publishing Corporation
          1064-7449
          1098-0997
          1993
          : 1
          : 3
          : 144-148
          Affiliations
          [1 ] Divisions of Maternal Fetal Medicine and Reproductive Endocrinology Department of Obstetrics and Gynecology University of New Mexico School of Medicine Albuquerque NM USA
          [2 ] Department of Obstetrics and Gynecology University of South Carolina Two Medical Park Columbia SC 29203 USA
          Article
          S1064744993000328
          10.1155/S1064744993000328
          2364309
          18475335
          468f3ce2-ba50-4105-8864-70338f0d7ec6
          Copyright © 1993 Hindawi Publishing Corporation.

          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.

          History
          : 12 August 1993
          : 1 October 1993
          Categories
          Research Article

          Obstetrics & Gynecology
          Obstetrics & Gynecology

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