Diagnosi prenatale di toxoplasmosi congenita.

Translated title of the contribution: Prenatal diagnosis of congenital toxoplasmosis

A. Taglioretti, A. Vucetich, G. Agostoni, M. Ravizza, V. Meroni, A. G. Semprini, G. Pardi

Research output: Contribution to journalArticlepeer-review

Abstract

Primary Toxoplasmosis is devoid of any consequences in the mother in most cases, while the fetus can suffer serious damages following transplacental passage of the parasite. This is probably due to its limited immunocompetence. 440 women have been seen for suspected primary infection during pregnancy: clinical and serological parameters excluded infection in 62% of the cases. In 168 cases primary infection was likely and they underwent therapy with Spiramycin 3 grams per day to prevent placental and fetal colonization: 53 cases were elected for invasive prenatal diagnosis. Amniotic fluid was obtained by amniocentesis and fetal blood by ultrasound guided cordocentesis and by fetoscopy: the samples were analyzed for specific anti Toxoplasma IgM and sent for isolation of the parasite. Diagnosis of fetal infection was made in 4 cases: 3 cases had specific IgM in cord blood, 1 case showed intracranial calcifications by ultrasound screening. Fetal infection rate is thus below 10% and prenatal diagnosis avoids unjustified interruption of pregnancies complicated by maternal toxoplasmic infection.

Translated title of the contributionPrenatal diagnosis of congenital toxoplasmosis
Original languageItalian
Pages (from-to)49-54
Number of pages6
JournalAnnali di Ostetricia Ginecologia Medicina Perinatale
Volume110
Issue number1
Publication statusPublished - Jan 1989

ASJC Scopus subject areas

  • Medicine(all)

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