Soares Janer Aparecida Silveira, Caldeira Antônio Prates
Departamento de Saúde da Mulher e da Criança, Universidade Estadual de Montes Claros, Montes Claros, MG, Brasil.
Programa de Pós-Graduação em Ciências da Saúde, Universidade Estadual de Montes Claros, Montes Claros, MG, Brasil.
Rev Soc Bras Med Trop. 2019 Apr 11;52:e20180228. doi: 10.1590/0037-8682-0228-2018.
The objective of this study was to report a case of congenital toxoplasmosis that illustrates the difficulties in diagnosing this disease. The case highlights the lack of prophylactic guidelines and shortcomings in the gestational screening process. It demonstrates the peculiarities of the non-specific clinical picture of the infection acquired during pregnancy and identifies the challenges of ophthalmological and high-sensitivity exams in newborns that are crucial for an early diagnosis. These factors contribute to a delay in early treatment of both the mother and the newborn. The lack of skill and expertise of clinical physicians to manage the disease is also addressed.
本研究的目的是报告一例先天性弓形虫病病例，以说明诊断该病的困难。该病例凸显了缺乏预防指南以及妊娠筛查过程中的缺陷。它展示了孕期感染非特异性临床表现的特点，并确定了新生儿眼科检查和高灵敏度检查对早期诊断的重要性及挑战。这些因素导致母亲和新生儿的早期治疗延迟。同时也提到了临床医生在管理该疾病方面缺乏技能和专业知识的问题。
