A pregnant lady had no complaints but mild cervical lymphadenopathy in first trimester. She was prescribed spiramycin but she was noncompliant. Baby was born with hydrocephalus and intracerebral calcification. Which of these is likely cause ?
Correct Answer: Toxoplasmosis
Description: Hydrocephalus and intracerebral calcification can occur in all the four options either commonly (Toxoplasma, CIVIV) or uncommonly (HSV, rubella). See previous explanation.
However, spiramycin in pregnancy is given for toxoplasmosis.
Acute maternal toxoplasmosis is usually asymptomatic, some patients may present with posterior cervical lymphadenopathy, fatigue, lassitude and maculopapular rash.
Spiramycin reduces the risk of congenital infection in acute toxoplasmosis during pregnancy.
As the patient was not compliant with spiramycin, baby developed congenital toxoplasmosis.
Category:
Pediatrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now