TORCH

Question 1

What do you consider torch for?

Answer 1

IUGR, Microcephaly, intracranial calcifications, hearing loss, seizures, cataracts

done on infant blood, maternal blood, or amnio

Question 2

Herpes

Answer 2

early in pregnancy = loss of pregnancy

late in pregnancy = IUGR

Babies can develop severe CNS and organ damage

Question 3

Toxoplasmosis

Answer 3

hydrocephalus, intracranial calcifications, chorioretinitis (inflamed lining of retina)

**found in cat feces

Question 4

Cytomegalovirus

Answer 4

Most com congenital infection in developed world.

IUGR, cerebral calcifications, hearing loss, seizures, neonatal jaundice and petechiae (red rash under skin), hepatospeenomegaly, thick placenta, ascites/edema

1/200 babies born with CMV and 1/5 have symptoms

Question 5

Syphilis

Answer 5

**only TORCH where babies are sympomatic at birth.

snuffles, hutchinson teeth, saber shins, saddle nose

Question 6

Rubella

Answer 6

40% still birth
deafness, cataracts, CHD, blueberry muffin rash, salt and pepper retinopathy

Question 7

Parvovirus

Answer 7

affects heart –> causes anemia –> Hydrops

Question 8

Varicella

Answer 8

skin scarring, hypo plastic extremities, ventriculomegaly

Question 9

Titer results

Answer 9

IgM antibodies indicates recent infection, there is a risk to baby because recent infection could have been during pregnancy.

IgG antibodies (G ghost from past) indicates past infection or vaccination likely before pregnancy.