TORCH syndrome

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TORCH syndrome
Other namesTORCH infection

TORCH syndrome is a cluster of symptoms caused by congenital infection with toxoplasmosis, rubella, cytomegalovirus, herpes simplex, and other organisms including syphilis, parvovirus, and Varicella zoster. [1] Zika virus is considered the most recent member of TORCH infections. [2]

Contents

TORCH is an acronym for (T)oxoplasmosis, (O)ther Agents, (R)ubella, (C)ytomegalovirus, and (H)erpes Simplex. [3]

Signs and symptoms

Though caused by different infections, the signs and symptoms of TORCH syndrome are consistent. They include hepatosplenomegaly (enlargement of the liver and spleen), fever, lethargy, difficulty feeding, anemia, petechiae, purpurae, jaundice, and chorioretinitis. The specific infection may cause additional symptoms. [1]

TORCH syndrome may develop before birth, causing stillbirth, in the neonatal period, or later in life. [4]

Pathophysiology

TORCH syndrome is caused by in-utero infection with one of the TORCH agents, disrupting fetal development. [1]

Diagnosis

Presence of IgM is diagnostic and persistence of IgG beyond 6–9 months is diagnostic.[ citation needed ]

Prevention

TORCH syndrome can be prevented by treating an infected pregnant person, thereby preventing the infection from affecting the fetus. [4]

Treatment

The treatment of TORCH syndrome is mainly supportive and depends on the symptoms present; medication is an option for herpes and cytomegalovirus infections. [1]

Epidemiology

Developing countries are more severely affected by TORCH syndrome. [4]

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Herpes simplex Viral disease caused by herpes simplex viruses

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Blueberry muffin baby Medical condition

Blueberry muffin baby is a term coined by physicians to describe a neonate born with the characteristic reddish-blue widespread purpura occurring as a result of dermal extramedullary hematopoiesis The rash is most commonly found in infants infected with rubella or the cytomegalovirus. However, the cause of this characteristic rash can be variable and include other TORCH infections, blood disorders, and malignancies. The purpura are often generalized, but occur more often on the trunk, head, and neck. This medical condition is named after its superficial similarity to a blueberry muffin. Diagnosis of this condition involves combination of clinical presentation, physical exam, and laboratory studies. Prognosis is variable based upon the cause of the characteristic rash. Treatment may include supportive care, anti-viral medication, transfusion, or chemotherapy depending on the underlying cause.

Herpes labialis Herpes simplex virus infection of the lip

Herpes labialis, commonly known as cold sores, is a type of infection by the herpes simplex virus that affects primarily the lip. Symptoms typically include a burning pain followed by small blisters or sores. The first attack may also be accompanied by fever, sore throat, and enlarged lymph nodes. The rash usually heals within ten days, but the virus remains dormant in the trigeminal ganglion. The virus may periodically reactivate to create another outbreak of sores in the mouth or lip.

Congenital cytomegalovirus infection Medical condition

Congenital cytomegalovirus(CMV) infection refers to a condition where cytomegalovirus is transmitted in the prenatal period. CMV is a member of the virus family herpesviridae and is the most common intrauterine infection.

Herpes simplex keratitis Medical condition

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Achalasia microcephaly Medical condition

Achalasia microcephaly syndrome is a rare condition whereby achalasia in the oesophagus manifests alongside microcephaly and mental retardation. This is a rare constellation of symptoms with a predicted familial trend.

References

  1. 1 2 3 4 "TORCH Syndrome - NORD (National Organization for Rare Disorders)". NORD (National Organization for Rare Disorders). Retrieved 2016-04-21.
  2. Mehrjardi, Mohammad Zare (2017). "Is Zika Virus an Emerging TORCH Agent? An Invited Commentary". Virology: Research and Treatment. 8: 1178122X17708993. doi:10.1177/1178122X17708993. ISSN   1178-122X. PMC   5439991 . PMID   28579764.
  3. "TORCH Syndrome".
  4. 1 2 3 Neu, Natalie; Duchon, Jennifer; Zachariah, Philip (2015-03-01). "TORCH infections". Clinics in Perinatology. 42 (1): 77–103, viii. doi:10.1016/j.clp.2014.11.001. ISSN   1557-9840. PMID   25677998.