Congenital toxoplasmosis in the United States: clinical and serologic findings in infants born to mothers treated during pregnancy

Autor: Cindy Press, Tudor Olariu, Jose G. Montoya, Kjerstie Olson, Jeanne Talucod
Rok vydání: 2019
Předmět:
Male
Pediatrics
Clinical findings
Antibodies
Protozoan

Toxoplasmosis
Congenital

Serology
0302 clinical medicine
Pregnancy
030212 general & internal medicine
Congenital toxoplasmosis
030219 obstetrics & reproductive medicine
Infectious Diseases
Cohort
Lower prevalence
Female
Infants
Hydrocephalus
medicine.medical_specialty
Short Note
Veterinary (miscellaneous)
Mothers
Serologic findings
Enzyme-Linked Immunosorbent Assay
Biology
Sensitivity and Specificity
lcsh:Infectious and parasitic diseases
03 medical and health sciences
medicine
Humans
lcsh:RC109-216
Serologic Tests
Retrospective Studies
Clinical Laboratory Techniques
Infant
Newborn

Infant
Retrospective cohort study
medicine.disease
Infectious Disease Transmission
Vertical

United States
Toxoplasmosis
Immunoglobulin M
Laboratory diagnosis
Immunoglobulin G
Pregnancy Complications
Parasitic

Insect Science
Animal Science and Zoology
Parasitology
Zdroj: Parasite
Parasite, Vol 26, p 13 (2019)
ISSN: 1776-1042
Popis: We assessed clinical and serologic findings in 25 infants with congenital toxoplasmosis born to mothers treated during pregnancy in the United States. Results indicate a lower prevalence of eye findings and hydrocephalus in the group of infants born to treated mothers (62.5% and 38.5%, respectively) compared to results on the same pathologies reported in our previous cohort of infants born to untreated mothers (92.2% and 67.7%, respectively). The sensitivity of the IgM ISAGA and IgA ELISA in the present study were lower (44% and 60%, respectively) compared to sensitivity of these methods in our previously studied group of infants born to untreated mothers (86.6% and 76.5%, respectively). These findings provide further evidence that anti-parasitic treatment if administered during pregnancy can contribute to better clinical outcomes, even in countries where systematic screening and treatment have not been routinely implemented.
Databáze: OpenAIRE