Maternal Infections Flashcards
what is rubella?
viral infection
presentation of rubella
fever rash lymphadenopathy polyarthritis congenital rubella= cataracts, PDA + deafness
diagnosis of rubella
IgG and IgM
management of rubella
TOP if early gestation
fluids, rest
avoid other pregnancy women
prevention of rubella
booster dose MMR
what is measles?
paramyxovirus infection
presentation of measles
fever runny nose cough conjunctivitis rash kolpik spots
what is chickenpox
VZV DNA virus of the herpes family
presentation of chickenpox
fever
malaise
vesicular rash
management of chickenpx
acyclovir if 20+ weeks
prevention of chickenpox
VZV Ig up to 10 days post-exposure
foetal varicella syndrome
hypoplastic limbs, psychomotor retardation, IUGR, cataracts, microencephaly and cutaneous scarring
whatis CMV?
herpes virus
presentaiton of CMV in kids
SNHL
diagnosis fo CMV
IgG and IgM
management fo CMV
valacyclovir
hyperimmune globulin
monitor neonates for deafness
presentation of parvovirus
slapped cheek
anaemia
congenital heart failure, hydrops
diagnosis fo parvovirus
IgM
serial USS and foetal MCA doppler
what is toxoplasmosis?
parasitic infection that can be caused by raw meat and cat faeces
what are babies born with in toxoplasmosis?
hydrocephalus, chorioretinitis, cerebral calcifications, microcephaly and retardation
management of toxoplasmosis transmission risk
spiramycin
what is listeriosis?
gram +ve bacillus found in soil, food and animal products
listeriosis in pregnancy
flu
death, miscarriage, pre-term or stillbirth
management of listeriosis
- Ampicillin + gentamicin
- Trimethoprim + sulfamethoxazole