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TORCH Syndrome

What is TORCH Syndrome?

  • It refers to a viral infection of a developing fetus or newborn by any of a group of infectious agents.
  • "TORCH" is an acronym meaning (T)oxoplasmosis, (O)ther Agents, (R)ubella (also known as German Measles), (C)ytomegalovirus, and (H)erpes Simplex.
  • This disease can happen to anyone around the world, mostly to babies.
  • Highest incidences was said to be in Europe and Africa.

Transmission

  • Infection of a fetus by any of the infectious agents that have been transmitted from the mother to the placenta.
  • Toxoplasmosis= coming in contact with an infected cat.
  • Rubella and Herpes Simplex= cough, saliva, blood.
  • Cytomegalovirus= bodily fluids, breast milk, saliva.

Mortality and Morbidity Rate

Symptoms

  • Enlargened liver
  • Enlargene spline
  • Abnormalties
  • Mental retardation
  • Hearing loss
  • Fetal death
  • Hemorrhagic skin spots
  • Toxoplasmosis= 85%, over 60 million.
  • Rubelle= 33%, 80 out of 100 babies.
  • Cytomegalovirus= 20-30%, 50-80% of people.
  • Herpes Simplex= 50%, 3.7 billion under 50 years old.

Treatment and Prevention

  • Treatment of infants is based upon the agent, the stage of fetal development, how severe the infection is and symptoms.
  • Toxoplasmosis= administration of pyrimethamine with sulfadiazine.
  • Herpes simplex= antiviral agent acyclovir.
  • Rubella or cytomegalovirus primarily includes symptomatic and supportive measures.
  • Prevention from torch infections includes wash hands, cook meats thoroughly, vaccines against measles, amd avoid contact with people who have one of the agents.

Historical and Interesting facts

Diagnosis

  • Tests
  • Doctors test newborns for certain symptoms that could result as a torch infection.
  • Clinical Analysis
  • Doctors look for key symptoms such as bone structures, blood count, cerebrospinal fluid, etc.
  • Toxoplasma gondii was discovered in rodents in 1908 by Nicolle and Manceaux. It wasn't until 1932 that it was found to be an agent of disease in congenitally infected infants.
  • Rubella was considered to be a form of the measles. The name Rubella is Latin for "little red."
  • Herpes goes as early as ancient Greek times. The greek word "herpes" means "to creep or crawl" relating to the spreading nature of the herpetic skin lesions.
  • Cytomegalovirus is almost never symptomatic within a patient. It stays hidden, only a few people shows symptoms.
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