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Updated: Jun 2, 2026

3-D Imaging and Analysis of Neurons Infected In Vivo with Toxoplasma gondii
Published on: December 9, 2014
[Congenital toxoplasmosis: severe ocular and neurological complications]
Franka Hoekstra1, Cecile Buzing, Jan M J Sporken
1Canisius-Wilhelmina Ziekenhuis, Afd. Kindergeneeskunde, Nijmegen, the Netherlands.
Insights
Congenital toxoplasmosis affects 2 in 1000 infants, often presenting asymptomatically. Early diagnosis and treatment are vital to prevent severe neurological and vision complications in newborns.
Area of Science:
- Medical research
- Infectious diseases
- Pediatrics
Context:
- Congenital toxoplasmosis is a parasitic infection passed from mother to child during pregnancy.
- In the Netherlands, it affects approximately 2 per 1000 live births.
- Infants may be asymptomatic at birth, delaying diagnosis and treatment.
Purpose:
- To present two cases of congenital toxoplasmosis in infants.
- To highlight the varied clinical presentations and outcomes.
- To emphasize the importance of early diagnosis and treatment.
Summary:
- A prematurely born girl, treated antenatally, remained asymptomatic postnatally.
- A 2-month-old boy developed hydrocephalus and chorioretinitis, later experiencing epilepsy, cerebral palsy, and vision impairment despite treatment.
- Untreated congenital toxoplasmosis frequently leads to chorioretinitis, deafness, and neurological deficits.
Impact:
- Educating pregnant women on toxoplasmosis prevention is crucial.
- Clinician awareness of clinical signs aids early diagnosis and intervention.
- Timely treatment can potentially minimize long-term sequelae in affected infants.
Abstract:
Two infants with congenital toxoplasmosis are presented. A girl born prematurely was treated postnatally after the mother had received antimicrobial treatment during pregnancy for acute toxoplasmosis. Apart from being small for gestational age, she remained without symptoms and treatment was ceased after 13 months. A 2-month-old boy presented with hydrocephalus and chorioretinitis, consistent with congenital toxoplasmosis. Despite antimicrobial treatment, at 12 months of age he suffered from epilepsy, cerebral palsy and vision impairment. Most infants with congenital toxoplasmosis (2 per 1000 live births in the Netherlands) are asymptomatic at birth. The education of pregnant women is crucial for the prevention of congenital toxoplasmosis. Awareness of antenatal and postnatal presenting signs and symptoms is important for clinicians, because early diagnosis and treatment may minimize sequelae. Untreated, the majority of affected infants will develop chorioretinitis, deafness and/or neurological symptoms.
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