TORCH INFECTIONS Flashcards

1
Q
  • Infection of the genital tract without symptoms
  • Variable manifestation from asymptomatic to severe
  • Infect baby’s brain and damage developing bone structures.
A

CYTOMEGALOVIRUS

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2
Q

Manifestations of “Cytomegalovirus”

A

Fetal effects:
- Microcephaly
- Cerebral Calcification
- Chorioretinitis
- Tepatosplenomegaly - possible bleeding internally

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3
Q

Causes of Cytomegalovirus

A

Cytomegalovirus

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4
Q

Transmission of Cytomegalovirus

A

Droplet: Sneezing

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5
Q
A
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6
Q

Manifestations of Cytomegalovirus in “NEONATAL PERIOD”

A
  • Early Jaundice
  • Hematemesis
  • Melena
  • Hematuria
  • Death
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7
Q

Treatment for Cytomegalovirus

A

Antiviral (Zovirax) - not safe in early part of pregnancy (teratogenic)

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8
Q

Prevention for Cytomegalovirus

A
  • Avoid having sex with a possible contaminated partner
  • Have a monogamous relationship
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9
Q

“Liver’ infection caused by HBV and HVC

A

Hepatitis B & C

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10
Q

Risk factors of Hepa B & C

A
  • Unvaccinated
  • Sexually Active
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11
Q

Causes of HBV & HCV

A

Hepatitis Virus ( B&C)

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12
Q

Transmission of Hepa B & C

A
  • Sex , semen ,blood exposure
  • Transferred through placenta or breastfeeding
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13
Q

Manifestations of Hepa B & C

A
  • Acute Hepatitis, changes in liver function
  • Maybe asymptomatic at birth
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14
Q

Diagnosis for Hepa B& C

A

HBsAg

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15
Q

Painful “vesicles” in the Vulva and peri-anal area

A

HERPES

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16
Q

Causes for Herpes

A

HERPES SIMPLEX 1- ORAL
HERPES SIMPLEX 2 - GENITAL - DANGEROUS FOR BABY ( ANAL AND GENITAL)

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17
Q

Transimission of Herpes

A

Contact
Break in skin or mucuous membrane
NB: At birth

18
Q

Manifestations of Herpes

A
  • Early: pinpoint vesicles on erythematous base
  • ulcerated vesicle and open lesions
  • profuse discharge
  • pain when contact
19
Q

Diagnostics for Herpes

A
  • Culture of lesion from vulva, vagina, cervix or penis.
  • Appearance of lesions
  • Pap Smear
20
Q

Management for Herpes

A
  • NO CURE!
  • Avoid Sex or use condom
  • use glove applying ointment or vaginal gel
  • Warm bath, 3x a day
  • Pap test (yearly)
21
Q

A slowly replicating virus. Acts by attacking the CD4-bearing helper T lymphocytes

22
Q

Transimission of HIV

A
  • Exposure to blood and / or body excretions through sex
  • Sharing needles and punctures
  • Fetus: Perinatally
  • Breastfeeding
23
Q

Manifestations of HIV

A

Mother
Early: fatigue, anemia, diarrhea, and weight loss
Initial: Mild, flu-like symptoms

24
Q

Early signs of infected newborn ( HIV )

A
  1. Enlargement of the liver or spleen
  2. Lymphadenopathy
  3. Failure to thrive
  4. Persistent Thrush
  5. Extensive seborrheic dermatitis
25
Viral infection causing "RASH"
Rubella ( Congenital Rubella Syndrome )
26
Risk factors of Rubella
- Non- vaccinated before pregnancy
27
Cause of Rubella
Rubella Virus
28
29
Manifestations of Rubella
Mother : Mild rash and Mild Systemic Fetus: Hearing impairment, cognitive and motor challenges , cataracts, cardiac defects, restricted intrauterine growth, Cleft Lip
30
Diagnosis for Rubella
- Rubella Titer
31
Medical Treatment for Rubella
1. Give Gamma globulin; not the vaccine 2. All pregnant women should avoid contact with children with rashes. 3. Post partum- may give but no pregnancy for at least 3 months 4. Infant Isolation
32
Bacterial Infection causing " painless sore in genitals, rectum or mouth
SYPHILIS
33
Causes of Syphilis
TREPONEMA PALLIDUM
34
Transmission of Syphilis
- Skin or mucuous membrane contact -
35
36
an infection caused by the parasite Toxoplasma gondii. It is commonly found in cat feces, contaminated food or water, and undercooked meat, especially pork, lamb, and venison.
Toxoplasmosis
37
Manifestations of Toxoplasmosis: (MATERNAL)
May cause repeated abortion
38
Toxoplasmosis may cause fetal effects like
1. Fetal hydrocephaly 2.choriorenitis 3. Cerebral calcification
39
Diagnosis for Toxoplasmosis
Pregnancy Serum Analysis ( Amniocentesis )
40
Treatment for toxoplasmosis
Antibiotics ( Sulfadiazine ) Abortion is an Option
41
Prevention:
Hand Hygiene Remove unhealthy cat Do not touch Cat litter
42
Painless sore in genitals, rectum or mouth
Syphilis