Title |
Toxoplasmosis congnita en gemelos
|
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Published in |
Revista chilena de infectología, June 2020
|
DOI | 10.4067/s0716-10182020000300316 |
Pubmed ID | |
Authors |
Martín Brizuela, Eduardo Otero, Andrea Molina, Karina De Risio, Jimena Mariano, Gustavo Cañete |
Abstract |
Congenital toxoplasmosis in twin pregnancies is infrequent. We present the case of a monozygotic and monocorial twin pregnancy with maternal toxoplasmosis infection diagnosed at 33 weeks gestation by detecting reactive IgM and IgG and low avidity test for IgG. The detection of the parasite in amniotic fluid could not be performed because the amniocentesis was not done. The term newborns presented cerebral calcifications and bilateral active chorioretinitis without other associated clinical manifestations. They had IgG and IgM reactive for toxoplasmosis. The detection of Toxoplasma gondii was not performed by placental PCR or cord blood. They received treatment during the first year of life with pyrimethamine, sulfadiazine and folinic acid. They had no adverse events associated with the therapy. The diagnostic assessment and treatment does not differ from pregnancies with a single fetus. One or both newborns may be compromised. Multidisciplinary monitoring is essential for the early detection of reactivations or progression of lesions. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 19 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 5 | 26% |
Student > Ph. D. Student | 2 | 11% |
Lecturer | 1 | 5% |
Lecturer > Senior Lecturer | 1 | 5% |
Researcher | 1 | 5% |
Other | 0 | 0% |
Unknown | 9 | 47% |
Readers by discipline | Count | As % |
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Agricultural and Biological Sciences | 3 | 16% |
Biochemistry, Genetics and Molecular Biology | 2 | 11% |
Nursing and Health Professions | 2 | 11% |
Medicine and Dentistry | 2 | 11% |
Unknown | 10 | 53% |