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TORCH Infections (Other (syphillis) (most commonly infected from…
TORCH Infections
Other (syphillis)
most commonly infected from transplacental infection but can also occut d/t contact or hematogenously (the longer period between infection and pregnancy decreases likelihood of transmission)
lesions, lymphadenopathy, sniffles, hepatosplenomegaly, maculopapular rash, or if progressed: CNS, bone/joints, skin
most asymptomatic @ dx / untreated, symptoms appear within 1st 5 wks of life;
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HSV
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most commonly neonatal infections acquired from infected mother shortly before or through birth canal during vaginal delivery
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TX of choice: parenteral acyclovir, empirically to all infants suspected
CMV
most common congenital infection causing: sensorineural hearing loss, mental retardation, retinal disease, cerebral palsy
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Toxoplasmosis
hydrocephalus, chorioretinitis, intracerebral calcifications
TX: pyrimethamine with folic acid combined with sulfadiazine, tx may be prolonged = up to a year
Rubella
abnormal head size, shape, and fontanelles, blueberry muffin top appearance - tend to be persistently infected, shedding live virus for up to 1 year
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