Pregnancy and infections: anticipating exposures
Spotted on toxoplasmosis, listeriosis, CMV, rubella, syphilis and Zika during pregnancy, with the steps to discuss with the healthcare team.
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Spotted on toxoplasmosis, listeriosis, CMV, rubella, syphilis and Zika during pregnancy, with the steps to discuss with the healthcare team.
Hepatitis B can remain silent and become chronic. It affects the liver; symptoms alone do not allow to recognize it. Can a person without symptoms be infected? Yes. Screening is based on professionally interpreted analyses, particularly during pregnancy or after relevant exposure. Hepatitis B virus Hépatite B : trois marqueurs qui ne répondent pas à la même question. HBsAg, anti-HBs et anti-HBc total se lisent ensemble. Un résultat isolé ne suffit pas à distinguer vaccination, infection ancienne et infection actuelle.
Parvovirus B19 often causes mild infection, but pregnancy, certain blood disorders and immunodepression require special attention. Is any infection during pregnancy complicating? No: Complications are not systematic. Exposure or infection deserves an appropriate assessment, without turning a possible risk into certainty. Parvovirus B19
The Zika virus is mainly transmitted by Aedes mosquitoes, but also during sexual intercourse or from the mother to the foetus. Pregnancy requires special attention. Does the absence of symptoms protect the baby? No: Congenital complications can follow a symptomatic or silent maternal infection. The absence of signs does not replace the assessment of exposure during pregnancy. Zika virus
Listeria can contaminate food. Invasive listeriosis is different from a simple gastroenteritis. What to do after a recalled food? Check the lot and the reminder instructions. In case of fever or symptoms, especially during pregnancy, contact a professional by reporting exposure. Listeria monocytogenes
Age, pregnancy, chronic diseases and immunosuppression: prepare for appropriate prevention and know when to ask for advice.
Rubella may be discreet, but infection during pregnancy may have serious consequences for the foetus. Are rubella and measles the same disease? No. They are due to different viruses and have distinct consequences and approaches despite some resemblances of eruption. Rubella virus
Syphilis is a treatable bacterial infection. It can go unnoticed and reach the foetus during pregnancy. Does the disappearance of the canker mean that the infection is cured? No. The evolution of the lesions may mask a persistent infection. Appropriate diagnosis and treatment are required. Treponema pallidum
Toxoplasmosis is a parasitic infection that is often silent. Some situations of pregnancy or immunosuppression require special attention. Does toxoplasmosis always come from a cat? No. Undercooked meat, soil, water or contaminated plants can transmit the parasite. Prevention is not limited to contact with an animal. Toxoplasma gondii
This path distinguishes the transmission of a mother-to-child infection from the way the mother acquired it. It may occur during pregnancy, at birth or after depending on the agent. A maternal exposure does not prove an infection of the foetus.
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