Toxoplasmose Flashcards

0
Q

Réservoir toxoplasmose

A

Chats, bovins et ovins domestiques, porcins

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1
Q

Germe toxoplasmose

A

Toxoplasmosa gondii

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2
Q

Transmission toxoplasmose

A

Alimentation (viande mal cuite, végétaux souillés), litières chats
TME si PI maternelle pendant grossesse

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3
Q

Toxoplasmose chez immunocompetent

A

Asymptomatique 80%

Fièvre, myalgies, éruptions…

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4
Q

Toxoplasmose congénitale

A

Rare mais grave avortement, encephalomyelite…
+ de malformations si PI en début de grossesse
+ de contamination si PI en fin de grossesse

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5
Q

Toxoplasmose immunodeprimes

A

Grave +++

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6
Q

Diagnostic positif toxoplasmose

A

Sérologie ELISA, IFD

PCR

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7
Q

Traitement forme grave toxoplasmose

A

Pyrimethamine 6 semaines + sulfadiazine

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8
Q

Traitement toxoplasmose PI femme enceinte

A

Spiramycine jusqu’à accouchement et amniocentese
Si toxo congénitale prouvée : pyrimethamine+sulfadiazine jusqu’à accouchement avec surveillance échographique +++
IMG possible

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9
Q

Traitement NN toxoplasmose congénitale

A

Pyrimethamine + sulfadiazine 1 an

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