Friday 17 April 2009

INVESTIGATIONS OF INFECTIVE SYMPTOMS IN PREGNANCY

Clinical presentation Possible diagnosis Investigations

Maculopapular rash Rubella IgM and IgG*
Parvovirus IgM and IgG*
Enterovirus Throat or faecal culture


Vesicular rash Varicella Rash IgM and IgG* if uncertain
Enterovirus Throat or faecal culture


Flu-like symptoms CMV IgM and IgG*
(fever, myalgia, malaise, LFTs, FBC
+/- lymphadenopathy) Toxoplasmosis IgM and IgG*
Listeriosis Blood and faecal culture
Other viral infections Serology or culture as required


*In parallel with previous
antenatal serum and 2-4 weeks later if required

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