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TORCH
DEFINITION
Toxoplasmosis is a disease
caused by a parasite, and it's
usually acquired by the parasite
getting into the body by the
mouth (by eating undercooked
meat). If the parasite infects a
pregnant woman, it can also
infect a woman's fetus.
TORCH Syndrome:
Infection of a fetus by any of a group
of infectious agents which have
been transmitted from the mother
through the placenta. The infections
include toxoplasmosis, rubella,
cytomegalovirus, herpes virus,
hepatitis and syphilis. The severity
and nature of symptoms is
determined by the type of infection.
CAUSES
• Toxoplasmosis
• Rubella
• Cytomegalovirus
virus
• Herpes virus
• Sexually
transmitted
diseases
liposuction
• Infliximab
• Mexiletine
RISK FACTORS
consumption of
undercooked
meat
consumption of
raw eggs
exposure to cat
feces and cat
litter
insects (like flies)
that have been
in contact with
Toxoplasmosis
Cause:
The cause of this
disease is a
parasite called
Toxoplasma
gondii, which
commonly live on
mammals .
Transmission:
These parasites spread with a dog or
cat feces. Another is through the
spread of flies, cockroaches or
other insects that descend the dirt
and then stick to the food or on
vegetables which when not properly
cooked can be transmitted to
humans. Can also be spread
through undercooked meat when
cooked.
Effect:
The fetus is infected with
this disease can cause
miscarriage or stillbirth. It
can also cause
abnormalities in fetus.
Rubella virus
Cause: Rubella virus. It is also known as
German measles
Transmission: The media is transmitted via
respiratory, saliva, sweat, blood or sexual
relationship of people with other rubella.
CLINICAL MANIFESTATIONS
Low grade fever
Sorethroat
Rash- pale or bright red
Swollen neck glands
RASH
EFFECTS
MALFORMATIONS IN FETUS LIKE
Cataract
Cardiac disease
Glaucoma
Microcephaly
Brain damage
cytomegalovirus infection
Cause: Caused by cytomegalo virus.
Transmission: Direct contact
Clinical manifestations
Glandular fever
Headache
Sorethroat
Anorexia
DIAGNOSIS
Culture of urine, blood,
saliva, or cervical
mucus
Serology for antibody
detection
EFFECTS
• Microcephaly Or hydrocephaly
• Spastic quadriplegia
• Psychomotar retardation
• Deafness
• Hepatospleenomegaly
• Thrombocytopenia
• The virus sheds through an infected
fetus for prolonged period
Congenital cytomegalovirus
infection
Herpes simplex type- II
GENITAL HERPES- GENITAL
ULCERS
Click to add text
HERPES LABIALIS-
GINGIVOSTOMATITIS
Presentations of congenital HSVPresentations of congenital HSV
Neonate with herpes
Incubation period- less than 7 days
Transmission-
Direct or indirect contact
Effects-
• Spontaneous abortion
• Prematurity
• Infection to neonate
Syphilis
Sexually transmitted disease caused by
Treponema pallidum
Transmission -

Direct contact

Vertical transmission
Incubation-

9-90 days
Clinical features
Primary lesion-
Single or multiple lesions on the
labia,forchette,anus,cervixand nipples
Secondary syphilis-
Within 6weeks to 6months
Primary lesions
Secondary siphilis
Secondary lesions
Condylomalata in the vulva
These are coarse, flat topped, moist,
necrotic lesions teaming with
treponemas
Systemic symptoms

Fever

Head ache

Sorethroat

Maculopapular rash on palms and soles
This stage can last upto 2 years.
Latent syphilis- after the
secondary phase is resolved
Tertiary syphilis- characterized
by GUMMATOUS ulcers
Gummatous ulcers
They are-
Deep punched
rolled out margins
Painless with moist
leather base
Effects on pregnancy
Mother- accelerates the course of HIV
Fetus-
T.pallidum enters the fetal circulation
after 20th
week
PATHOLOGY
Obliterating arteritis-
An extreme degree of proliferating
endarteritis that closes the lumen of
the artery. Also called obliterating
arteritis
Perivascular infiltration of lymphocytes
and plasma cells
Increased connective tissue, leading to
bulky uterus and villi
Increased cellularity in villi
Fate of fetus

Abortion

Preterm labour

Intrauterine death leading to maceration

Still bith

Highly infected neonate

Congenital syphilis
Congenital syphilis and
Still birth
Diagnosis
• Clinical findings
• Serological test- VDRL
• Test husband's blood
• Detection of spirochaetes from
cutaneous lesion
• Polymerase chain reaction test of
T.pallidum in amniotic fluid,fetal serum,
spinal fuid
Early manifestations

Maculopapular
rash

Rhinitis

Hepato-
splenomegaly

Jaundice

Lymphadenopathy

Chorioretinitis
and
Late manifestations

Deafness

Saddle nose

Hydrocephalus

Mental
retardation
Others-
Purulent nasal discharge
Hoarse cry, thin and
soundless
Ulcers on
lips,mouth,larynx.
Poorfeeding and weight
loss
Patchy alopecia
Corneal scarring
Hutchinson teeth
Hutchinson’s Teeth
is a congenital
anomaly in which
the permanent
incisor teeth are
narrow and
notched.
Sabre shins
Sabre shins, or
anterior tibial
bowing, results
from chronic
periosteal
inflammation of
untreated early
congenital
syphilis
Varicella zoster virus
The virus can cross the placenta and
cause congenital or neonatal chickenpox
Congenital varicella syndrome is
charecterised by hypoplasia of limb,Limb
deformity, Chorioidoretinal scarring
Diagnosis
Varicella polymerase chain reaction test of DNA
from vesicular fluid
ELISA detects specific Ig G and IgM.
Prevention
Varicella zoster immunoglobulin
Treatment
Oral acyclovir with in 24 hours of rash reduses the
duration of illness and prevents congenital
infection
Parvo virus
Caused by Parvo virus B19(DNA)
Transmission-
Tansplacentally in 33%
Effects

Anaemia

Aplastic crises

Congenital heart failure

Hydrops

Fetal loss
Diagnosis
PCR of viral DNA from fetal and maternal
blood
Thank you

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