TORCH Infections Flashcards

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1
Q

Toxoplasmosis maternal symptoms

A

asymptomatic

fatigue, fever, HA, malaise myalgia, lymphadenopathy

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2
Q

Toxoplasmosis fetal symptoms

A
chorioretinitis
hydrocephalus
intracranial calcifications
learning disabilities
vision abnormalities
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3
Q

Toxoplasmosis transmission

A

touching mouth after changing cat litter
contaminated soil
undercooked meat
unfiltered water

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4
Q

Other (syphilis) newborn symptoms

A
nasal discharge (bloody/white)
snuffles
hepatomegaly
rashes
lymphadenopathy
seizures
hydrocephalus
hematologic abnormalities
long bone abnormalities of development
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5
Q

Other (syphilis) toddler symptoms

A
frontal bossing
saddle nose
short maxilla
protuberant mandible
ocular/vision abnormalities
abnormal tooth development
fissures around mouth
intellectual disability
arthritis/joint abnormalities
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6
Q

Other (syphilis) transmission

A

treponema pallidum (spirochete crosses placenta or transmits during delivery)

mostly occurs in mothers w/little PNC

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7
Q

Rubella maternal effects

A

increased rates of fetal death, prematurity, impaired growth, LBW

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8
Q

Rubella fetal/child effects

A
permanent hearing impairment
congenital heart defects
microcephaly
cataracts
hepatosplenomegaly
intellectual disability
diabetes
thyroid dysfunction
encephalitis
bone lesions
meningoencephalitis 
purpura/petechiae (blueberry muffin rash)
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9
Q

Rubella transmission

A

lack of maternal immunity

maternal infection–>hematogenous spread–>placental infection–>spread to fetal vasculature

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10
Q

CMV maternal symptoms

A

mono-like infection (fever, rhinitis, pharyngitis, myalgia, HA, fatigue)

asymptomatic

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11
Q

CMV fetal symptoms

A

sensory-hearing loss, vision impairment due to chorioretinitis
neurologic-microcephaly, seizures, feeding difficulties
other-hepatosplenomegaly, jaundice, petechiae/purpura

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12
Q

CMV transmission

A

viral infection (congenital)

transmitted via placenta

primary infection w/highest risk

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13
Q

Herpes simplex virus maternal symptoms

A

genital–ulcers, fever, lymphadenopathy, fever, dysuria, HA

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14
Q

Herpes simplex virus fetal symptoms

A

rare to have intrauterine disease, but severe

placental infarcts
inflammation of umbilical cord
fetal demise
skin abnormalities (skin vesicles, ulceration, scarring) 
ocular damage
severe CNS deformities (microcephaly)
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15
Q

Herpes simplex virus neonate symptoms

A

skin/eye/mouth manifestations (SEM)
vesicles on erythematous base
ocular infection
ulcerations of mouth, throat, palate, tongue

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16
Q

Herpes simplex virus dissemination in neonate

A
liver, lungs, GI tract
poor feeding
unable to regulate body temp
irritable
meningoencephalitis
seizures
disseminated intravascular coagulation
respiratory/liver failure
shock
skin vesicles
17
Q

Herpes simplex virus transmission

A

during delivery (viral shedding)

rare to have transplacental transmission

25% of neonates develop dissemination (mortality exceeds 80%)