Perinatal Infections

Option List:
A. Bacterial vaginosis
B. Candia albicans
C. Chlamydia trachomatis
D. Zika virus
E. Gonococcus
F. Group B streptococcus
G. Listeria monocytogenes
H. Rubella
I. Streptococcus faecalis
J. Toxoplasma gondii
L. Parvovirus
M. Chicken pox
N. Malaria

The following scenarios relate to pregnant woman with rash. Pick the option that best answers the causative organism in each scenario from the option list. Each option can be used once, more than once or not at all.

1. Mr.X,25-year-old woman who is 14 weeks pregnant who has presented with a 1-day history of a non-vesicular rash, consisting of red spots behind her ears, across her head, neck, trunk and legs. She also complains of painful swellings behind her ears. She is noted to have a temperature of 38°C.

2. Mrs x presented to you in clinic at 8 weeks, as she is exposed to child who has developed rash similar to slapped cheek. On follow up at 16 weeks shows, Fetal Hydrops. Doppler indicates fetal anemia

3. Mrs. x presented with   Fever, headache, generalized arthralgia myalgia with retro-orbital pain. She has a generalized rash with itching. She gives history of recent travel to Brazil, followed by which she started these symptoms. Treated symptomatically, on ultrasound - baby has microcephaly, Cerebellar atrophy, IUGR.

4. Mrs X is farmer by profession. She is now 26 weeks pregnant. she presented with fever, sore throat, headache, muscle aches and pains. She has swollen lymph nodes, especially in the neck. She says they have lots of pet animals, dogs, cats and poultry as well. On follow up ultrasound Baby has ascites and hepatosplenomegaly, chorioretinitis and hydrocephaly with intracerebral calcification.

5. A 19-years-old woman books in your antenatal clinic. The previous year she delivered a live male infant at 27 weeks gestation. She is embarrassed to inform you of a pale vaginal discharge that has a fishy odor.