TORCH Infections

Question 1

How would a mom with toxoplasmosis present?

Answer 1

asymptomatic lymphadenopathy

Question 2

How would congenital toxoplasmosis present?

Answer 2

• chorioretinitis
• hydrocephalus
• intracranial calcifications

Question 3

An infant is born in respiratory distress and brought to the NICU for further work-up. On exam it is noted that the child has a shortened maxilla, a nose with loss of height (saddle nose) and lymphedema. The child fails his hearing exam. What is the most likely gestational exposure?

Answer 3

syphilis

Question 4

A baby comes to his 2 week newborn check up and is noted to have a continuous, blowing murmur on exam. He failed his hearing screen at the hospital and is noted to have BL cataracts on eye exam. What is the most likely congenital condition?

Answer 4

Congenital Rubella

Question 5

What are the clinical manifestations of congenital CMV?

Answer 5

• Sensorineural hearing loss
• petechial “blueberry-muffin” rash
• periventricular calcifications

Question 6

What brain abnormality is see in congenital HSV-2?

Answer 6

Temporal encephalitis- Hippocampus involvement

Question 7

A bloody lumpar puncture could lead you to think of a subarachnoid hemorrhage or this encephalitis?

Answer 7

HSV