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congenital toxoplasmosis

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congenital toxoplasmosis
A transplacental infection with the protozoan Toxoplasma gondii affecting ±13 of fetuses of ♀ with acute acquired toxoplasmosis, most severe if the infection occurs in 1st trimester; children are often normal at birth, followed by blindness, mental retardation; it may affect the brain, lung, heart, eyes, liver Clinical Hydrocephalus, microcephaly, cerebral calcifications, atrophy, chorioretinitis, uveitis, vitritis, convulsions, hyperbilirubinemia, hepatomegaly Diagnosis PCR of amniotic fluid to detect 35-fold repeat of the B1 gene of T gondii Sensitivity 97%–vs 90% with conventional parasitology Lab IgM immunoassay Management Pyrimethamine, sulfadiazine, leukovorin. See TORCH.


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The rate of congenital toxoplasmosis in the United States is 1-10 per 10,000 live births (4).
Affects both men and women, but pregnant women are most at risk as it can affect the foetus - congenital toxoplasmosis.
Many pediatric specialists would also test for MCAD and congenital toxoplasmosis.
 
 
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