Congenital Infections Flashcards
What is the concern in a 1st trimester pregnant patient that presents with a maculopapular rash that begins on the forehead and moves inferior along with lymphadenopathy?
Congenital Rubella Infection
-patient has German measles
(check for MMR vaccination Hx)
What is the most common congenital malformation that occurs in a Rubella infection?
Cataracts
What is the concern in a pregnant patient that presents with mono during pregnancy?
CMV infection (most common)
Toxoplasmosis
Listeria m.
What are the 3 most common congenital malformations in a CMV infection?
- Thrombocytopenic Purpura
- Microcephaly
- Periventricular Intracranial Calcifications
(gradual deafness can also occur)
Most common stage when congenital syphilis occurs.
Secondary Syphilis
-at this stage the bacteria has disseminated thru the body and can cross the placenta
Most common congenital symptoms in congenital syphilis.
Rhinitis Instant CN VIII deafness (CMV was more gradual) Bone, Teeth, Cartilage abnormalities Sabre Shins Notched Incisors (Hutchinson Teeth) Saddle Nose
Major symptoms in congenital toxoplasmosis.
Hydrocephaly
chorioretinitis
Intracranial Calcifications
What is the concern when a pregnant patient presents with arthritis and arthralgia?
B19 infection
Major congenital symptom of B19 infection.
Hydrops Fetalis
-virus attacks immature fetal RBCs
Main mode of transmission of Herpes Viruses from mother to fetus.
Ascending infection thru the birth canal.
Main congenital malformation in varicella syndrome/
Limb Atrophy
Main risk factor for contracting congenital listeriosis.
Eating deli meat
Biggest complications of congenital listeriosis.
If acquired during delivery: neonatal meningitis
If crosses placenta: abortion, premature delivery, neonatal spesis
