TORCH Infections

Question 1

Maculopapular rash on palms and soles.
Lymphadenopathy.
“Snuffles” (rhinitis)
Osteitis (inflammation of bone substance)

Answer 1

Syphilis

Question 2

Treatment for syphilis

Answer 2

Penicillin

Question 3

Treat mothers seropositive for syphilis with

Answer 3

Penicillin

Question 4

Skin, mouth, and eye vesicles which can progress to severe CNS and systemic infections

Answer 4

Herpes simplex (HSV)

Question 5

Treat HSV (herpes simplex) with

Answer 5

Acyclovir

Question 6

Highest risk is from mothers with a primary infection of this. If mother has active lesions at time of delivery, perform a C-section

Answer 6

HSV

Question 7

Petechial rash.
Periventricular calcifications.
Microcephalic.
Chorioretinitis

Answer 7

CMV

Question 8

Treat CMV with

Answer 8

Ganciclovir

Question 9

“Blueberry muffin” rash. 
Cataracts. 
Hearing loss. 
Encephalitis. 
PDA and other cardiac defects

Answer 9

Rubella

Question 10

No treatment for this other than immunizing mothers prior to pregnancy

Answer 10

Rubella

Question 11

Hydrocephalus. Seizures. Chorioretinitis (inflammation of choroid and retina of eye). Intracranial calcifications and ring-enhancing lesions on head CT

Answer 11

Toxoplasmosis

Question 12

Avoid exposure to cats and cat feces in pregnancy. Avoid raw/undercooked meat. Treat women with primary infection

Answer 12

Toxoplasmosis

Question 13

Treat with pyrimethamine, sulfadiazine, and spiramycin

Answer 13

Toxoplasmosis