[Two cases of congenital toxoplasmosis with a central nervous system damage--delayed diagnosis].
OBJECTIVE
The intrauterine toxoplasma gondii infection is linked with a high risk of central nervous system/CNS/damage in the fetus. Why, despite the wide knowledge of this neurodegenerative disease prophylaxis and therapy, do we still meet neonates with the CNS damage?


METHODS
Authors present two cases of congenital toxoplasmosis with the CNS involvement.


RESULTS
One of the cases was identified as the internal hydrocephalus during a prenatal ultrasound examination but no further diagnostics tests were undertaken. The congenital toxoplasmosis and severe CNS damage was diagnosed post delivery. In the other case some clinical symptoms of the CNS infection appeared in the neonatal period. Now this patient is eight months old and presenting mild motor developmental delays.


CONCLUSIONS
1. There are many clinical symptoms of the congenital toxoplasmosis, that can occur in the prenatal/case 1/and postnatal/case 2/period. 2. No serologic tests for toxoplasmosis were performed in mothers during pregnancy, what delays treatment and diagnosis of sick children. 3. Fetus presenting the CNS anomalies identified during ultrasound examinations should be immediately diagnosed.
Kliniki Pediatrii, Hematologii, Onkologii i Endokrynologii AM w Gdańsku.
Eliza
E
Wasilewska
Magdalena
M
Neuman-Łaniec
Jolanta
J
Wierzba
Ninela
N
Irga
Anna
A
Balcerska
D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D015997:Neonatal Screening / Q000379:methods; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000517:prevention & control; D011296:Prenatal Diagnosis / Q000379:methods; D013997:Time Factors; D016781:Toxoplasmosis, Cerebral / Q000175:diagnosis* / Q000517:prevention & control; D014125:Toxoplasmosis, Congenital / Q000175:diagnosis* / Q000517:prevention & control