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[Toxoplasmosis in pregnancy - questions in clinical practice]

Markéta Geleneky1

  • 1Department of Infectious Diseases, Hospital na Bulovce Prague, Czech Republic. marketa.geleneky@gmail.com

Klinicka Mikrobiologie a Infekcni Lekarstvi
|August 23, 2013
PubMed

Toxoplasmosis acquired during pregnancy is a serious disease that may significantly affect fetal development and cause irreversible or therapeutically hardly influenced damage to the newborn. Early and correct diagnosis of the disease in the mother is essential for determining prognosis and further diagnostic and therapeutic procedures. The case study combines a number of factors to be encountered in clinical practice which may complicate diagnostic considerations. One of them is the existence of a rare phenomenon of reinfection - its possible effects on prenatal screening and other interpretations of such findings. Another problem is the evaluation of the origin of sonographically confirmed fetopathy in relation to Toxoplasma etiology and the choice of next steps that should follow in this situation. Finally, the text discusses the selection of postnatal examinations so that they sufficiently contribute to decision-making about the newborn's treatment initiation.

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