USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

(Kiana) #1

TOXOPLASMOSIS


A   26-year-old primigravida    was admitted    to  the birthing    unit    at  39  weeks’
gestation in active labor at 6 cm dilation. During her second trimester she
experienced a mononucleosis-like syndrome. Uterine fundal growth lagged
behind that expected on the basis of a first-trimester sonogram. Serial
sonograms showed symmetrical intrauterine growth retardation (IUGR).
She delivered a 2,250 g male neonate who was diagnosed with
microcephaly, intracranial calcifications, and chorioretinitis.

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