Re: Trichinella in pregnancy

From: art fougner, md (evsono@pipeline.com)
Sun Jan 13 14:47:12 2002


thanks Marilyn -

info a bit sparse to say the least re pregnancy - i did see that reference about the fetal and placental path at termination - would have been interesting to see if any abnormal findings either on fetal or placental sonar or doppler velocimetry. thus far little take home message to guide us in the future.

art

At Sun, 13 Jan 2002, Marilyn Ringst wrote: >
><<This sounds like good problem for the OBGYN-L list rather than
>Ultrasound... Anyone on OBGYN-L able to help on this question?... to respond
>see: http://forums.obgyn.net/ultrasound/ULTRASOUND.0201/0053.html>>
>
>There's a CDC Reference page that might help:
>http://www.cdc.gov/ncidod/dpd/parasites/trichinosis/default.htm
>
>There’s actually an International Commission on Trichinellosis
>http://www.med.unipi.it/ict/welcome.htm
>
>and a recent case report:
>
>1: Parasite 2001 Jun;8(2 Suppl):S180-2
>
>Congenital trichinellosis? Case report.
>
>Dubinsky P, Boor A, Kincekova J, Tomasovicova O, Reiterova K, Bielik P.
>
>Parasitological Institute of the Slovak Academy of Sciences, Hlinkova 3, 040
>01 Kosice, Slovak Republic. dubinsky@saske.sk
>
>A large trichinellosis outbreak in the Slovak Republic caused by the species
>Trichinella britovi and affecting 336 people also affected a pregnant woman.
>The mother was infected in the 10th week of pregnancy and was treated with
>mebendazole. On her own request abortion was performed in the 22nd week of
>pregnancy. Medium IgM and high IgG anti-Trichinella antibody titres were
>found. The placenta, body cavities liquid, tissues and organs of the foetus
>contained 0.02-30 larvae per gram of tissue, measuring 0.68 +/- 0.05-1.17
>+/- 0.07 mm,
>with blurred inner structure. Immunocytochemical examination identified
>Trichinella larvae that infected the foetus in the early stage of
>development.
>
>PMID: 11484349 [PubMed - indexed for MEDLINE]
>
>--
>Marilyn Ringstaff, CNM
>Rome, Ga
>

--
art fougner, md
ich bin ein New Yorker




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