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Toxoplasmic encephalitis in an HIV infected pregnant woman: successful outcome for both mother and child.
Nogueira, Susie Andries; Guedes, Ana Lúcia; Machado, Elizabeth S; Matos, Juliana A; Costa, Tomás P; Cortes, Ely M; Lambert, John S.
Afiliação
  • Nogueira SA; Clementino Fraga Filho Hospital, Federal University of Rio de Janeiro, Hospital of Lagoa, Rio de Janeiro, RJ, Brazil. susie@hucff.ufrj.br
Braz J Infect Dis ; 6(4): 201-5, 2002 Aug.
Article em En | MEDLINE | ID: mdl-12204188
This report describes a case of Toxoplasma encephalitis during pregnancy of an HIV infected woman who was severely immunosuppressed (CD(4): 17 cells/mm3), had a high viral load (RNA PCR:230,000 copies/ml), was treated with sulfadiazine, pyrimethamine and folinic acid for toxoplasmosis and was being treated with highly potent antiretroviral drugs (AZT, 3TC and nelfinavir) for HIV infection. The newborn was born through an elective C-section, received six weeks of AZT according to the 076 protocol and was clinically normal at birth. Subsequently he had two RNA PCR negatives for HIV, seroreverted and had no clinical or laboratory evidence of congenital toxoplasmosis. Despite the concerns of the use of these combined therapies on the foetus during pregnancy, their efficacy illustrates that keeping the mother alive and in good health is an important strategy to protect the unborn child from acquiring these two infections.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções por HIV / Toxoplasmose Cerebral / Infecções Oportunistas Relacionadas com a AIDS / Transmissão Vertical de Doenças Infecciosas Tipo de estudo: Guideline Limite: Adult / Animals / Female / Humans / Newborn / Pregnancy Idioma: En Revista: Braz J Infect Dis Assunto da revista: DOENCAS TRANSMISSIVEIS Ano de publicação: 2002 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções por HIV / Toxoplasmose Cerebral / Infecções Oportunistas Relacionadas com a AIDS / Transmissão Vertical de Doenças Infecciosas Tipo de estudo: Guideline Limite: Adult / Animals / Female / Humans / Newborn / Pregnancy Idioma: En Revista: Braz J Infect Dis Assunto da revista: DOENCAS TRANSMISSIVEIS Ano de publicação: 2002 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil