Loveridge-Easther Cam, Yardley Anne-Marie, Breidenstein Brenda
CCDHB, Wellington, New Zealand.
CCDHB, Wellington, New Zealand.
J AAPOS. 2018 Jun;22(3):239-240. doi: 10.1016/j.jaapos.2017.12.013. Epub 2018 Mar 28.
Congenital toxoplasmosis (CT) is a parasitic disease that causes serious fetal and neonatal harm or death. In countries that do not have antenatal screening programs, the initiation of CT treatment relies on a postnatal diagnosis. Until recently, diagnosis was based on clinical signs and immunoglobulin seropositivity, which is fraught with difficulty. In these cases, diagnosis was often delayed or treatment, which carries risk, started empirically. We highlight the use of polymerase chain reaction to diagnose a case of congenital toxoplasmosis, allowing early treatment and justifying the treatment burden.
先天性弓形虫病(CT)是一种寄生虫病,会对胎儿和新生儿造成严重伤害甚至死亡。在没有产前筛查项目的国家,CT治疗的启动依赖于产后诊断。直到最近,诊断还基于临床症状和免疫球蛋白血清阳性,这充满了困难。在这些情况下,诊断往往延迟,或者开始进行有风险的经验性治疗。我们强调使用聚合酶链反应诊断一例先天性弓形虫病,从而实现早期治疗并证明治疗负担的合理性。