A Case of Congenital Syphilis and Prozone Phenomenon.

[A Case of Congenital Syphilis and Prozone Phenomenon]. Mikrobiyol Bul. 2019 Jul;53(3):336-342 Authors: Appak Ö, Manyaslı M, Cengiz MM, Deliloğlu B, Karaoğlu Asrak H, Özlü C, Sayıner AA Abstract The screening for syphilis during pregnancy is important to prevent intrauterine transmission and complications. Prozone phenomenon may cause a false negative result in non-treponemal syphilis tests, which complicates an accurate diagnosis. In this case report a newborn syphilis case was presented to emphasize the importance of reverse algorithm in diagnosis and the prozone phenomenon which can cause problems in rapid plasma reagin (RPR) test. The 2920 g infant patient was born from a 24-year-old mother with no known diseases, at the 35th week of gestation by cesarean section due to premature rupture of membranes. The initial physical examination of the newborn revealed erythema and exfoliation of the bilateral hands and feet. Laboratory results revealed CRP: 90 mg/L, WBC: 19.2 x 103/µl, hemoglobin: 9.5 g/dl, platelet count: 214 x 103/µl, HIV-Ag/Ab: non-reactive, anti-Toxoplasma gondii IgM and IgG: negative, anti-cytomegalovirus IgM: negative, anti-cytomegalovirus IgG: positive (128.7 AU/ml), anti-Rubella IgM: negative, anti-Rubella IgG: positive (26 IU/ml), anti-Treponema pallidum (anti-T.pallidum) antibody [IgM and IgG by the chemiluminescence microparticle enzyme immunoassay (Architect Syphilis TP; Abbott Japan Co, Japan)]: positi...
Source: Mikrobiyoloji Bulteni - Category: Microbiology Tags: Mikrobiyol Bul Source Type: research

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Conclusions Apart West Nile virus (78), thousands of congenital microcephaly cases, fetal brain tissue damage and neurological syndromes have been associated with ZIKV infection. Unfortunately, the epidemics of this mosquito born, and a relative stable virus is on a rise. Although congenital microcephaly is a rare disorder however, due to lack of standardized diagnostic test facilities, the incidence in the geographically widespread ZIKV epidemic regions is higher. Animals studies showed that ZIKV is a neurotropic virus. It directly targets the developing embryonic brain cells by inducing apoptosis, cell-cycle arrest, and...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
CONCLUSIONS: Simultaneous circulation of arboviruses and other agents responsible for congenital infections were observed; however, we did not identify co-infections between arboviruses. In this scenario, we emphasize the importance of adequate prenatal care to provide an accurate diagnosis of maternal rash. PMID: 30685232 [PubMed - as supplied by publisher]
Source: Acta Tropica - Category: Infectious Diseases Authors: Tags: Acta Trop Source Type: research
Discussion Intrauterine growth retardation or fetal growth retardation is due to a pathological process that causes decelerated fetal growth velocity. Small-for-gestational age (SGA) is an infant with growth parameters below the normal range for gestational age. More commonly, SGA is defined as a birth weight
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 009 The diagnosis of HIV is no longer fatal and the term AIDS is becoming less frequent. In many countries, people with HIV are living longer than those with diabetes. This post will hopefully teach the basics of a complex disease and demystify some of the potential diseases you need to consider in those who are severely immunosuppressed. While trying to be comprehensive this post can not be exhaustive (as you can imagine any patient with ...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Clinical Cases Tropical Medicine AIDS art cryptococcoma cryptococcus HIV HIV1 HIV2 PEP PrEP TB toxoplasma tuberculoma Source Type: blogs
Discussion: distinct neurological alterations in the monochorionic twins with an infection presumed by Zika virus may raise the hypothesis of the existence of predisposing factors or protection against this viral agent.Resumo Introdu ção: o aumento da incidência de microcefalia congênita no Brasil tem sido associado à epidemia do zika vírus. Este relato objetivou descrever o comprometimento neurológico de gêmeas monozigóticas presumidamente infectadas intra-útero pelo zika vírus durante a epidemia brasileira de 2015. Descrição do caso: ...
Source: Revista Brasileira de Saude Materno Infantil - Category: Midwifery Source Type: research
CONCLUSION: Ultrasonographic findings associated with fetal infection are neither sensitive nor specific. Testing for STORCH infections should take into account exposure history, clinical signs and symptoms, obstetric history, and fetal ultrasound findings, but with special attention paid to cytomegalovirus and parvovirus B19. PMID: 29185251 [PubMed - in process]
Source: Swiss Medical Weekly - Category: General Medicine Authors: Tags: Swiss Med Wkly Source Type: research
This study was based upon a small number of cases and ultrasound detection rather than births. Seven cases of microcephaly were reported above background, but only one of them was a birth; the others were detected by ultrasound. The high rate of ultrasound detection is not consistent with observations by ultrasound of microcephaly in other countries, including Colombia. We use the model for French Polynesia as a reference model for comparison with other data in order to clarify which data is or is not consistent with that model. We note that this rate is about 100 times larger than the minimum reported background rate for ...
Source: PLOS Currents Outbreaks - Category: Epidemiology Authors: Source Type: research
Abstract From the discovery of the Zika virus (ZIKV) in 1947 in Uganda (Africa), until its arrival in South America, it was not known that it would affect human reproductive life so severely. Today, damagetothe central nervous system is known to be multiple, and microcephaly is considered the tip of the iceberg. Microcephaly actually represents the epilogue of this infection ’ s devastating process on the central nervous system of embryos and fetuses. As a result of central nervous system aggression by the ZIKV, this infection brings the possibility of arthrogryposis, dysphagia, deafness and visual impairment. All of...
Source: Revista Brasileira de Ginecologia e Obstetricia - Category: OBGYN Source Type: research
We report the results of a rapid assessment of Zika virus awareness among key clinical specialties in Singapore, with the aim of identifying gaps in knowledge and opportunities for improving communication on Zika virus disease management and control policies. Methods Study Participants and Sites Between June 6 and June 19, 2016 prior to the Zika virus outbreak, we conducted an online survey of doctors working in obstetrics and gynaecology, neonatology and paediatrics in Singapore. A link to the online survey was disseminated by email to the relevant doctors at KK women’s and Children’s Hospital and Singapo...
Source: PLOS Currents Outbreaks - Category: Epidemiology Authors: Source Type: research
ConclusionsThe majority of cases of congenital Zika virus syndrome will have additional ultrasonografic findings other than pure microcephaly. Progressive slowed growth rate of fetal head seems to better define Zika virus CNS anomalies, and this seems to be evident only in late second trimester, even when maternal infection occurs in the first trimester. Other ultrasound findings such as ventriculomegaly, brain calcifications and posterior fossa destruction lesions are also common in this congenital syndrome. Posterior fossa destruction lesions and arthrogryposis are an uncommon findings in other congenital infections. Thi...
Source: Ultrasound in Obstetrics and Gynecology - Category: Radiology Authors: Tags: Original Paper Source Type: research
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