Week 4: Congenital Infections Part II Flashcards
CHEAP TORCHES LZ
Common clinical manifestations of intrauterine infections
- Low birth weight (SGA)
- Possible malformation
- Rash
- Jaundice/direct bilirubin
- Hepatosplenomegaly
- Anemia, low platelets
- Stable
- or Asymptomatic
Common clinical manifestations of Perinatal infections
- Normal weight (AGA)
- No malformations
- Sepsis Syndrome
- Coagulopathy/DIC
- Hepatitis
- Conjunctivitis
- Sometimes clinically unstable (sepsis)
- or Asymptomatic
Causative organisms of in utero infections
- HIV
- CMV
- HSV
- Toxoplasma
- Syphilis
- Rubella
- LCMV
- Parvovirus B19
- Zika virus
Causative organisms of Perinatal infections
- HIV
- CMV
- HSV
- VZV
- Enterovirus
- GC/Chlamydia/HPV
- Hepatitis B/C/E
- E coli/GBS/Listeria
Causative organisms of Post-natal infections
*Breastfeeding*
- HIV
- CMV
- Hepatitis B virus
Signs and symptoms of congenital/perinatal Rubella
- Sensorineural deafness
- Cataracts
- Congenital heart disease
Signs and symptoms of congenital/perinatal Toxoplasma gondii
- Hydrocephalus
- Diffuse Intracranial calcifications
- Chorioretinitis
Signs and symptoms of congenital/perinatal CMV
- Microcephaly
- Perinatal intracranial calcifications
Signs and symptoms of congenital/perinatal Parvovirus B19
- Diffuse edema (hydrops fetalis)
Signs and symptoms of congenital/perinatal VZV
- Limb abnormalities
- Cicatricial lesions
Signs and symptoms of congenital/perinatal Treponema pallidum
- Skin lesions (including palms and soles)
- Dactylitis, osteochondritis periostitis
- Rhinorrhea (snuffles)
Signs and symptoms of congenital/perinatal HSV
- Vesicular lesions
- Keratoconjunctivitis
For congenital infections consider
Case 1 Hx