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No todo es Zika: toxoplasmosis congénita, ¿aún prevalente en Colombia? / Not everything is Zika: congenital toxoplasmosis, still prevalent in Colombia?
Alvarado-Socarras, Jorge L.; Meneses-Silvera, Keyla; Zarate-Vergara, Andrea Carolina; Guerrero-Gomez, Carlos; Rodriguez-Morales, Alfonso J..
Affiliation
  • Alvarado-Socarras, Jorge L.; Fundación Cardiovascular de Colombia. Departamento de Pediatría. Unidad de Neonatología. Floridablanca. CO
  • Meneses-Silvera, Keyla; Fundación Cardiovascular de Colombia. Departamento de Pediatría. Unidad de Neonatología. Floridablanca. CO
  • Zarate-Vergara, Andrea Carolina; Fundación Cardiovascular de Colombia. Departamento de Pediatría. Unidad de Neonatología. Floridablanca. CO
  • Guerrero-Gomez, Carlos; Fundación Cardiovascular de Colombia. Departamento de Pediatría. Unidad de Neonatología. Floridablanca. CO
  • Rodriguez-Morales, Alfonso J.; Fundación Cardiovascular de Colombia. Departamento de Pediatría. Unidad de Neonatología. Floridablanca. CO
Rev. peru. med. exp. salud publica ; 34(2): 332-336, abr.-jun. 2017. tab, graf
Article in Spanish | LILACS, LIPECS | ID: biblio-902908
Responsible library: BR1.1
RESUMEN
RESUMEN La toxoplasmosis congénita continúa siendo un problema de salud pública. Aun existiendo guías plenamente divulgadas y conocidas, se observa poca implementación de las mismas y falta de adecuada interpretación de pruebas serológicas en gestantes Esto puede generar falta de captación y tratamiento en embarazadas con primoinfección por Toxoplasma gondii. Reportamos una serie de casos, con compromiso neurológico y sistémico (dificultad respiratoria, hepatoesplenomegalia, enterocolitis, calcificaciones cerebrales, trombocitopenia, corioretinis, ascitis, choque). Si bien el virus de Zika causó epidemia en 2015-2016 en Brasil, Colombia y otros países, toxoplasmosis es un diagnóstico diferencial aún prevalente en estos países, con secuelas graves, discapacidad neurológica y riesgo de daño ocular, incluso tardío. Adicionalmente, existen algunas variedades de cepas de T. gondii con comportamiento más agresivo en Latinoamérica, lo cual empeora la presentación de los casos, incluyendo además mayor riesgo de muerte.
ABSTRACT
ABSTRACT Congenital toxoplasmosis continues to be a public health threat. Even existing guidelines, publicly known, its implementation and lack of appropriate interpretation of serological tests in pregnancy is often observed. This leds to failure in opportunities for positive and known interventions to decrease the fetal risk due to Toxoplasma gondii infection. We reported herein a case series, with variable neurological and systemic compromise (respiratory distress, hepatosplenomegaly, enterocolitis, brain calcifications, thrombocytopenia, ascites, shock), even fatal, calling for awareness about the fact that despite the Zika epidemics in 2015-2016 in Brazil, Colombia and other countries, precisely toxoplasmosis, is a differential diagnosis still prevalent in these territories, that can leds to severe consequences, with neurological disability and risk of ocular damage, even lately. Additionally, with varieties of T. gondii with more aggressive patterns in Latin America, which make worse those cases, including also a higher risk of death.
Subject(s)


Full text: Available Collection: National databases / Peru Health context: SDG3 - Health and Well-Being / Neglected Diseases / SDG3 - Target 3.3 End transmission of communicable diseases / SDG3 - Target 3.2 Reduce avoidable death in newborns and children under 5 Health problem: Target 3.3: End transmission of communicable diseases / Target 3.2: Reduce avoidable death in newborns and children under 5 / Neglected Diseases / Zoonoses / Zika / Neonatal Healthcare / Noncommunicable Diseases Database: LILACS / LIPECS Main subject: Toxoplasmosis, Congenital / Toxoplasmosis, Cerebral / Zika Virus Infection Type of study: Practice guideline Limits: Female / Humans / Male / Infant, Newborn Country/Region as subject: South America / Colombia Language: Spanish Journal: Rev. peru. med. exp. salud publica Year: 2017 Document type: Article Institution/Affiliation country: Fundación Cardiovascular de Colombia/CO

Full text: Available Collection: National databases / Peru Health context: SDG3 - Health and Well-Being / Neglected Diseases / SDG3 - Target 3.3 End transmission of communicable diseases / SDG3 - Target 3.2 Reduce avoidable death in newborns and children under 5 Health problem: Target 3.3: End transmission of communicable diseases / Target 3.2: Reduce avoidable death in newborns and children under 5 / Neglected Diseases / Zoonoses / Zika / Neonatal Healthcare / Noncommunicable Diseases Database: LILACS / LIPECS Main subject: Toxoplasmosis, Congenital / Toxoplasmosis, Cerebral / Zika Virus Infection Type of study: Practice guideline Limits: Female / Humans / Male / Infant, Newborn Country/Region as subject: South America / Colombia Language: Spanish Journal: Rev. peru. med. exp. salud publica Year: 2017 Document type: Article Institution/Affiliation country: Fundación Cardiovascular de Colombia/CO
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