Virology Flashcards
Routes of infection in pregnancy
Intrauterine (transplacental/ ascending after PROM)
Intrapartum
Neonatal/ post partum
Why infections common in pregnancy?
Poor CMI
Hyper metabolic state.
Symptoms of rubella infection
LARF
LN, arthritis, rash and fever
When does rubella infection of fetus occur
First trimester
Why is rubella so teratogenic
Low pathogenicity = doesn’t kill fetus outright.
Interferes with specific organogenesis (ESP organ of corti)
Vaccine for rubella
Live attenuated
Specific abnormalities of newborn with rubella
Neuro sensory deafness, cataracts, microphthalmia, Microcephaly, mental retardation
PDA, late type 1 diabetes
Pathogenesis of parvovirus in fetus
Resp droplet spread. Replicates in RBC precursors. Transient RBC synthesis arrest. Aplastic crisis. (Fine for healthy not for HIV, B cell defs, blood cancers)
Fetal anaemia and cardiac failure > hydrops fetalis
Symptoms of parvovirus
BARF
Blood complications, arthritis, rash, fever
When is HIV most likely to be given to baby
Intrapartum
Why is congenital infection diagnosis so NB
Determine risk Offer termination (eg Rubella) Give intervention (eg blood transfusion in parvovirus)
Modes of congenital infection prevention
- Screening
- Avoid exposure
- C/S at delivery
- Vaccines/ Igs
Rx for syphilis
Benzathene penicillin
Rx for neonatal herpes/VZV
Acyclovir
Specific feature of toxoplasma infection in newborn
Chorioretinitis
Cerebral calcifications
Seizures