Enders G
Institut für medizinische Virologie und Infektionsepidemiologie, Stuttgart.
Immun Infekt. 1992 Dec;20(6):181-8.
Toxoplasmosis and viral infections such as rubella, cytomegaly and parvovirus B19 are much feared risk during pregnancy. The rate of connatal toxoplasmosis and of subclinically infected infants at birth with the risk of late manifestation is still unclear, whereas such data are fairly well-known for rubella-, CMV- and parvovirus-B19-infections. The respective major diagnostic issues in pregnancy, the laboratory diagnosis, and its rational use in combination with clinical information are presented. Also the value of passive prophylaxis, therapy, and prenatal diagnosis as well as the possible management for diminishing the infection problems in pregnancy are discussed.
弓形虫病以及风疹、巨细胞病毒和细小病毒B19等病毒感染是孕期令人极为担忧的风险因素。先天性弓形虫病的发病率以及出生时亚临床感染且有迟发表现风险的婴儿比例仍不明确,而风疹、巨细胞病毒和细小病毒B19感染的此类数据则较为人所熟知。本文介绍了孕期各自主要的诊断问题、实验室诊断及其与临床信息结合的合理应用。还讨论了被动预防、治疗和产前诊断的价值,以及为减少孕期感染问题可能采取的管理措施。