Prenatal ultrasound diagnosis of cataracts in a case of congenital toxoplasmosis, Quindío, Colombia
DOI:
https://doi.org/10.18597/rcog.274Keywords:
toxoplasma, ecography, ultrasound, cataract, congenital toxoplasmosisAbstract
Introduction: it is not usual to diagnose cataracts by prenatal ecography and this has been even less frequently reported in cases of congenital infection. The present report describes a case of congenital cataract caused by toxoplasma infection during pregnancy. Prenatal and post-natal studies confirmed the aetiology.
Methodology: a case study was prepared and a review of the pertinent literature was made. The search was made in MEDLInE/PubMed using terms without restriction: "ultrasound", "ultrasonography", "cataracts" and "prenatal".
Results: forty-three references were found. Only one of the documents reported a cataract being found by prenatal ecography in a case of congenital toxoplasmosis.
Conclusion: the careful search for ocular commitment during ecographic study of toxoplasmosis acquired during pregnancy should be a key component of ecographic study during this infection.
Author Biographies
Mónica Estrada
Alejandra De La Torre
Jorge Enrique Gómez-Marín
References
Gómez-Marín JE, González MM, Montoya MT, Giraldo A, Castaño JC. A newborn screening programme for congenital toxoplasmosis in the setting of a country with less income. Arch Dis Child 2007;92:88.
Gómez-Marín JE, Castaño JC, Montoya-Londoño MT, Loango n, López C, Sarmiento MC, Pinzón L, Alvarado F. Toxoplasmosis congénita en Colombia: análisis clínico y de laboratorio en 27 casos. Pediatría 2000;35:52-7.
Vasconcelos-Santos DV, Machado Azevedo DO, Campos WR, Oréfice F, Queiroz-Andrade GM, Carellos EV, et al; UFMG Congenital Toxoplasmosis Brazilian Group. Congenital toxoplasmosis in southeastern Brazil: results of early ophthalmologic examination of a large cohort of neonates. Ophthalmology 2009;116:2199-205.
Vutova K, Peicheva Z, Popova A, Markova V, Mincheva n, Todorov T. Congenital toxoplasmosis: eye manifestations in infants and children. Ann Trop Paediatr 2002;22:213-8.
Gómez JE, Ruiz B, Silva P, Beltrán S, Cortés J, Montoya J, et al. Guía de práctica clínica para toxoplasmosis durante el embarazo y toxoplasmosis congénita en Colombia. Infectio 2007;11:129-41.
Burgess IA, Martin SL, Hines BA, Smith JE. Prenatal detection of congenital idiopathic cataracts. Med J Aust 1998;169:385-6.
Beinder EJ, Pfeiffer RA, Bornemann A, Wenkel H. Second-trimester diagnosis of fetal cataract in a fetus with Walker-Warburg syndrome. Fetal Diagn Ther 1997;12:197-9.
Monteagudo A, Timor-Tritsch IE, Friedman AH, Santos R. Autosomal dominant cataracts of the fetus: early detection by transvaginal ultrasound. Ultrasound Obstet Gynecol 1996;8:104-8.
DrysdaleK,KylePM,SepulvedaW.Prenataldetection of congenital inherited cataracts. Ultrasound Obstet Gynecol 1997;9:62-3.
Katorza E, Rosner M, Zalel Y, Gilboa Y, Achiron R. Prenatal ultrasonographic diagnosis of persistent hyperplastic primary vitreous. Ultrasound Obstet Gynecol 2008;32:226-8.
Romain M, Awoust J, Dugauquier C, Van Maldergem L. Prenat Diagn 1999;19:780-2.
Nigro G, Sali E, Anceschi MM, Mazzocco M, Maranghi L, Clerico A, et al. Foscarnet therapy for congenital cytomegalovirus liver fibrosis following prenatal ascites. J Matern Fetal neonatal Med 2004;15:325-9.
Skibsted L. Abnormal fetal ultrasound findings after maternal chickenpox infection. Ugeskr Laeger 2000;162:2546-9.
Léonard A, Bernard P, Hiel AL, Hubinont C. Prenatal diagnosis of fetal cataract: case report and review of the literature. Fetal Diagn Ther 2009;26:61-7.
Pedreira DA, Diniz EM, Schultz R, Faro LB, Zugaib M. Fetal cataract in congenital toxoplasmosis. Ultrasound Obstet Gynecol 1999;13:266-7.
Gómez Marín JE, Montoya MT, Castaño JC, Ríos MP, Montoya MT. Toxoplasmosis congénita e hidranencefalia. Acta Med Colomb 1992;17:457-8.
Lebech M, Joynson DH, Seitz HM, Thulliez P, Gilbert RE, Dutton Gn, et al. Classification system and case definitions of Toxoplasma gondii infection in immunocompetent pregnant women and their congenitally infected offspring. European Research network on Congenital Toxoplasmosis. Eur J Clin Microbiol Infect Dis 1996;15:799-805.
Bessières MH, Berrebi A, Rolland M, Bloom MC, Roques C, Cassaing S, et al. neonatal screening for congenital toxoplasmosis in a cohort of 165 women infected during pregnancy and influence of in utero treatment on the results of neonatal tests. Eur J Obstet Gynecol Reprod Biol 2001;94:37-45.
Torres-Morales E, Gómez-Marin JE. Evaluación de una ELISA IgG de avidez para Toxoplasma para el diagnóstico en el embarazo y correlación con IgM e IgA. Rev Colomb Obstet Ginecol 2008;59:199-205.
Buffolano W, Lappalainen M, Hedman L, Ciccimarra F, Del Pezzo M, Rescaldani R, et al. Delayed maturation of IgG avidity in congenital toxoplasmosis. Eur J Clin Microbiol Infect Dis 2004;23:825-30.
Berrebi A, Kobuch WE, Bessieres MH, Bloom MC, Rolland M, Sarramon MF, et al. Termination of pregnancy for maternal toxoplasmosis. Lancet 1994;344:36-9.
Berrebi A, Bardou M, Bessieres MH, nowakowska D, Castagno R, Rolland M, et al. Outcome for children infected with congenital toxoplasmosis in the first trimester and with normal ultrasound findings: a study of 36 cases. Eur J Obstet Gynecol Reprod Biol 2007;135:53-7.
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