Congenital toxoplasmosis

The vertical transmission rate ranges from 15% in the first trimester to 60% in the third trimester of pregnancy. Most infected fetuses and newborns are asymptomatic. Those that have symptoms usually have the classic trias of retinochoroiditis, hydrocephalus and intracraniac calcifications. Interestingly retinochorioiditis can manifest months or years after birth (RKI, 2016).

In prenatal series the presence of ventriculomegaly along with multiple echogenic nodules is characteristic of severe fetal toxoplasmosis and this carries a poor prognosis (Malinger et al, 2011).

Below our case of a congenital toxoplasmosis at term. The ultrasound examination of the patient, who presented with uterine contractions, demonstrated ventriculomegaly and multiple echogenic nodules. After delivery the classic trias was evident.

fetal ventriculomegaly by toxoplasmosis
Ventriculomegaly (1.5 cm at term).

Bibliography

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.