TITLE:
Congenital Toxoplasmosis or the Tip of an Iceberg. Report of Two Cases
AUTHORS:
Kisito Nagalo, Sonia Kaboret, Laure Toguyéni, Auguste Attoh, Aïssatou Bélemviré, Myriam Sanwidi, Balkissa Konaté, Carine Kyélem, Diarra Yé
KEYWORDS:
Toxoplasmosis, Congenital Toxoplasmosis, Toxoplasma gondii, Embryo-Fetopathy, TORCH Infections
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.12 No.1,
March
21,
2022
ABSTRACT: Among the many parasitic diseases observed in the
tropics, Toxoplasmosis is a fairly common occurrence. An infected pregnant
woman can transmit it, transplacentally, to
her foetus. Two cases of congenital toxoplasmosis are discussed in this study. One patient is at 7 days of
life, while the other is at 9 days of life. The newborns displayed the
typical symptoms of jaundice, hepatosplenomegaly, chorioretinitis, and
cranioencephalic abnormalities. However, the uniqueness of these observations
is the presence of umbilical haemorrhage, a symptom not described in the
literature researched. The evolution of this
finding, during treatment is distinguished by the symptoms persisting until six months of age, in addition to growth retardation of
saturation-weight, with no retardation of psychomotor development in one
patient, and with hydrocephalus accompanied by psychomotor retardation in the
other one. Hence, it is recommended that
pregnant women are systematically screened for toxoplasmosis, and
seronegative women are monitored; in fact, the early and suitable management of
congenital toxoplasmosis will significantly control this parasitosis.