{"id":2168,"date":"2022-08-04T17:18:42","date_gmt":"2022-08-04T05:18:42","guid":{"rendered":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/?page_id=2168"},"modified":"2022-08-04T17:18:43","modified_gmt":"2022-08-04T05:18:43","slug":"congenital-toxoplasmosis","status":"publish","type":"page","link":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/congenital-toxoplasmosis\/","title":{"rendered":"Congenital toxoplasmosis"},"content":{"rendered":"\n<p><strong>Infection:<\/strong> Congenital toxoplasmosis; congenital <em>Toxoplasma gondii<\/em> infection<\/p>\n\n\n\n<p>Also refer to:\u00a0<a href=\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/toxoplasmosis\/\">How do I diagnose \u2013 Toxoplasmosis<\/a><\/p>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Brief description:<\/summary><div class=\"ab-accordion-text\">\n<ul><li>A protozoa that causes a self-limiting (usually asymptomatic) infection in healthy people, resulting in lifelong immunity to further infection (i.e. can only get it once).<\/li><li>There is a risk of fetal infection if maternal infection occurs during pregnancy.<\/li><li>Unlike CMV, fetal infection due to maternal reactivation\/reinfection is not a risk in immune-competent women.<\/li><li>Overall, around 10% of congenitally infected infants will develop long-term sequelae.<\/li><li>The incidence of congenital infection varies internationally, based on hygiene practises (i.e. level of exposure to cat faeces), and culinary practises (i.e. level of exposure to undercooked meat).<\/li><\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Did you know?<\/summary><div class=\"ab-accordion-text\">\n<ul><li>If maternal infection occurs, the risk of fetal infection increases with fetal age (due to increasing placental size).<\/li><li>However, if fetal infection does occur, the risk of sequelae decreases with fetal age.<\/li><\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Diagnostic approach:<\/summary><div class=\"ab-accordion-text\">\n<ul><li>Routine screening in pregnant women in NZ not recommended, including if they have a cat.<\/li><li>Test in pregnant women with possible acute infection e.g. fever, cervical lymphadenopathy.<\/li><li>Test in pregnant women with fetal USS findings that may suggest congenital infection.<ul><li>Commonest are intracranial hyperechoic foci\/calcifications or ventricular dilation.<\/li><\/ul><ul><li>A number of other USS findings may be seen, including other CNS abnormalities, hyperechoic bowel, IUGR, ascites\/pleural\/pericardial effusion, hepatosplenomegaly.<\/li><\/ul><\/li><\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Antenatal diagnosis test of choice (if possible maternal acute infection):<\/summary><div class=\"ab-accordion-text\">\n<p>Request<strong> \u201c<a href=\"https:\/\/scg.aphg.co.nz\/#!\/WEL\/details\/TOX\">Toxoplasma serology<\/a>\u201d<\/strong><\/p>\n\n\n\n<ul><li><strong>Toxoplasma IgG<\/strong> indicates infection <strong>at some point in time<\/strong> (can be acute <strong>or<\/strong> past infection). Usually appears <strong>within 2 weeks<\/strong> of symptoms and persists <strong>life-long<\/strong>.<ul><li>Excellent<strong> sensitivity &#8211; <\/strong>a <strong>negative<\/strong> result <strong>excludes<\/strong> toxoplasma infection, unless within 2 weeks of infection<\/li><\/ul><ul><li>Excellent <strong>specificity<\/strong> &#8211; a <strong>positive<\/strong> result <strong>confirms<\/strong> infection at some stage<\/li><\/ul><\/li><li><strong>Toxoplasma IgM <\/strong>is a marker of<strong> primary (acute) infection <\/strong>and usually appears<strong> within 1 week <\/strong>of symptoms. May persist for months or years.<ul><li>Good<strong> sensitivity &#8211; <\/strong>a <strong>negative <\/strong>resultmakes the diagnosis<strong> very unlikely <\/strong>if &gt;1 week of symptoms.<\/li><\/ul><ul><li>Moderate <strong>specificity<\/strong> &#8211; a <strong>positive<\/strong> result in someone with compatible symptoms is  <strong>supportive<\/strong>, but <strong>cannot confirm<\/strong> toxoplasmosis.<\/li><\/ul><ul><li>Because of the importance of diagnosing acute toxoplasmosis in pregnancy, further investigations should be undertaken in women with a positive IgM. This should be <strong>discussed with a clinical microbiologist<\/strong>.<ul><li>If the <strong>antenatal booking blood<\/strong> <strong>sample<\/strong> predates symptoms, then this can be retrieved for serology testing.<ul><li>Conversion from <strong>IgG negative to positive<\/strong> confirms acute toxoplasmosis.<\/li><\/ul><ul><li><strong>IgG positivity on the booking sample<\/strong> if prior to symptoms excludes acute toxoplasmosis.<\/li><\/ul><\/li><\/ul><\/li><\/ul><ul><li><strong>IgG avidity testing<\/strong> can also be performed on either the current sample or booking sample if necessary (discuss with microbiologist):<ul><li><strong>High avidity<\/strong> suggests acute infection <strong>&gt;4 months prior<\/strong><\/li><\/ul><ul><li><strong>Low avidity<\/strong> is less specific and can mean <strong>recent or old infection<\/strong>.<\/li><\/ul><\/li><\/ul><\/li><\/ul>\n\n\n\n<p><a id=\"_msocom_1\"><\/a><\/p>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Antenatal diagnosis test of choice (if abnormal USS findings):<\/summary><div class=\"ab-accordion-text\">\n<p>Request<strong> \u201c<a href=\"https:\/\/scg.aphg.co.nz\/#!\/WEL\/details\/TOX\">Toxoplasma serology<\/a>\u201d<\/strong><\/p>\n\n\n\n<ul><li><strong>Toxoplasma IgG <\/strong>indicates infection<strong> at some point in time <\/strong>(can be acute<strong> or <\/strong>past infection)<ul><li>Excellent <strong>sensitivity<\/strong> &#8211; negative result <strong>excludes congenital toxoplasmosis<\/strong> as cause of USS findings<\/li><\/ul><ul><li>Poor <strong>specificity<\/strong> &#8211; positive result indicates <strong>maternal infection<\/strong> at some point in time, but gives no indication as to whether infection may have passed to fetus<\/li><\/ul><\/li><li>If the Toxoplasma IgG is positive then these points should be considered (in conjunction with a<strong> clinical microbiologist<\/strong>):<ul><li>Has acute maternal infection occurred during pregnancy?<\/li><\/ul><ul><li>If maternal infection during pregnancy may have occurred, has fetal infection occurred?<ul><li>The decision on whether to pursue further investigations is based on the likelihood of acute maternal infection, and how suspicious the USS findings are. This should be <strong>in conjunction with a maternal fetal medicine specialist<\/strong>.<\/li><\/ul><\/li><\/ul><\/li><li>If antenatal diagnosis is pursued, then <strong>amniocentesis<\/strong> <strong>for<\/strong> <strong><a href=\"https:\/\/scg.aphg.co.nz\/#!\/WEL\/details\/TOD\">Toxoplasma PCR<\/a><\/strong> is the test of choice:<ul><li>Sensitivity is <strong>high<\/strong> if performed <strong>between 18-21 weeks gestation<\/strong> and <strong>&gt;4 weeks after possible maternal infection<\/strong>. Otherwise sensitivity is lower.<\/li><\/ul><\/li><\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Postnatal diagnosis:<\/summary><div class=\"ab-accordion-text\">\n<ul><li>This is complicated, and it is often not possible to definitively exclude infection at birth.<\/li><li>If the <strong>maternal toxoplasma IgG is negative<\/strong>, then congenital toxoplasmosis can be <strong>excluded<\/strong> without the need for any infant testing. Otherwise:<\/li><li>Workup usually involves a combination of testing of <strong>infant<\/strong> and <strong>placenta<\/strong><ul><li><strong>Paired infant and maternal <a href=\"https:\/\/scg.aphg.co.nz\/#!\/WEL\/details\/TOX\">toxoplasma serology<\/a><\/strong>&nbsp;<ul><li>Suggestive, but not confirmatory of congenital infection:<ul><li>infant <strong>IgM positive<\/strong>, or;<\/li><\/ul><ul><li><strong>IgG value significantly higher<\/strong> than mother\u2019s<\/li><\/ul><\/li><\/ul><\/li><\/ul><ul><li><strong><a href=\"https:\/\/scg.aphg.co.nz\/#!\/WEL\/details\/TOD\">Toxoplasma PCR<\/a><\/strong> on infant blood or CSF<ul><li>Moderate <strong>sensitivity<\/strong> &#8211; negative result <strong>doesn\u2019t exclude<\/strong> congenital infection<\/li><li>Excellent <strong>specificity<\/strong> &#8211; positive result <strong>confirms<\/strong> congenital infection<\/li><\/ul><\/li><\/ul><ul><li><strong>Histology<\/strong> and <strong>toxoplasma PCR<\/strong> on <strong>placenta<\/strong><ul><li>Moderate<strong> sensitivity&nbsp;&#8211; <\/strong>negative result<strong> doesn\u2019t exclude <\/strong>congenital infection<\/li><li>Good<strong> specificity &#8211; <\/strong>positive result makes congenital infection<strong> likely<\/strong><\/li><\/ul><\/li><\/ul><\/li><li>If the diagnosis cannot be excluded at birth (common), then infant serology should be monitored periodically<ul><li>At 12-18 months of age:<ul><li><strong>Positive<\/strong> infant <strong>toxoplasma IgG<\/strong> &#8211; <strong>confirms<\/strong> congenital infection<\/li><\/ul><ul><li><strong>Negative<\/strong> infant <strong>toxoplasma IgG<\/strong>: &#8211; <strong>excludes<\/strong> congenital infection<\/li><\/ul><\/li><\/ul><\/li><\/ul>\n\n\n\n<p><a id=\"_msocom_1\"><\/a><\/p>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Tests to avoid\/specialist tests:<\/summary><div class=\"ab-accordion-text\">\n<p><strong>Toxoplasma IgA serology<\/strong><\/p>\n\n\n\n<ul><li>This is often considered a better marker of acute infection than IgM because levels decline sooner, whereas IgM may remain positive for months.<\/li><li>However, most laboratories do not have IgA testing available.<\/li><\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Other considerations:<\/summary><div class=\"ab-accordion-text\">\n<p>Confirmation of congenital infection in a fetus or neonate only tells you congenital infection <strong>has occurred<\/strong>, it <strong>does not tell you<\/strong> whether the infection will cause <strong>sequelae<\/strong> or not.<\/p>\n<\/div><\/details><\/div>\n","protected":false},"excerpt":{"rendered":"Infection: Congenital toxoplasmosis; congenital Toxoplasma gondii infection Also refer to:\u00a0How do I diagnose \u2013 Toxoplasmosis","protected":false},"author":18,"featured_media":0,"parent":2060,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-left-sidebar.php","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Congenital toxoplasmosis &#8212; Awanui Labs \u2013 Otago, Southland<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/congenital-toxoplasmosis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Congenital toxoplasmosis &#8212; Awanui Labs \u2013 Otago, Southland\" \/>\n<meta property=\"og:description\" content=\"Infection: Congenital toxoplasmosis; 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