Report of two cases of toxoplasmosis in pregnant women from the Northwest of Parana State, Brazil <b>[Abstract in English]</b>

  • Lourenço Tsunetomi Higa UEM - Universidade Estadual de Maringá
  • Jair Ramos Universidade Estadual de Maringá
  • Hilton Suetake Hospital Paraná
  • Pamela Antoniassi Universidade Estadual de Maringá
  • Heloisa Ferrarezi Mantovan Universidade Estadual de Maringá
  • Marcela Castilho-Pelloso Secretaria de Saúde do Paraná
  • Ana Lúcia Falavigna-Guilherme Universidade Estadual de Maringá

Abstract

AIMS: To highlight the difficulty of the various services that comprise the public health system from the Northwest of Paraná in the monitoring of pregnant women with suspected toxoplasmosis, as observed in the present reports, one of a case of congenital toxoplasmosis and the other of severe ocular reagudization. CASES DESCRIPTION: In the first case, the pregnant women had positive serum Toxoplasma gondii-specific IgM, IgG and IgA, and PCR and inoculation in mice positive for Toxoplasma gondii in amniotic fluid. The fetus had ultrasound findings of placentomegalia and cerebral calcifications, and the newborn presented the Sabin tetrad. In the other case, an immunocompetent pregnant woman, with positive Toxoplasma gondii-specific IgG and negative IgM from serum, presented with severe ocular reagudization. Both patients sought the health service in the first trimester of pregnancy, but the referrals occurred between 20 and 32 weeks of gestation. CONCLUSIONS: The lack of agility and knowledge between the various levels of assistance in the control of gestational toxoplasmosis delayed a decision on the part of health professionals. The occurrence of toxoplasmosis in these pregnant women highlights the importance of vertical integration and of implementing strategies that can provide the development of a network of control and adequate management.

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Author Biographies

Lourenço Tsunetomi Higa, UEM - Universidade Estadual de Maringá
Hospital Universitário de Maringá - Docente da área de Ginecologia e Obtetrícia do curso de Medicina da Universidade Estadual de Maringá
Jair Ramos, Universidade Estadual de Maringá
Departamento de Medicina
Hilton Suetake, Hospital Paraná
Médico Ginecologista e Obstetra
Pamela Antoniassi, Universidade Estadual de Maringá
Acadêmica do Curso de Medicina
Heloisa Ferrarezi Mantovan, Universidade Estadual de Maringá
Médica residente em ginecologia e Obstetrícia
Marcela Castilho-Pelloso, Secretaria de Saúde do Paraná
Serviço de vigilância Epidemiológica , Maringá, Paraná
Ana Lúcia Falavigna-Guilherme, Universidade Estadual de Maringá
Departamento de Análises Clínicas , Maringá, Paraná
Published
2010-03-24
How to Cite
Higa, L. T., Ramos, J., Suetake, H., Antoniassi, P., Mantovan, H. F., Castilho-Pelloso, M., & Falavigna-Guilherme, A. L. (2010). Report of two cases of toxoplasmosis in pregnant women from the Northwest of Parana State, Brazil <b>[Abstract in English]</b>. Scientia Medica, 20(1), 99-102. Retrieved from https://revistaseletronicas.pucrs.br/ojs/index.php/scientiamedica/article/view/5693