TABLE 1.
Case no. | Mother's serology
|
Symptomatic vs. asymptomatic congenital toxoplasmosis
|
Perinatal diagnosis
|
Genotype
|
Serotype
|
|||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
GW | Anti-T. gondii antibodies | GW/NP | Clinical findings | IUD, GW/NP | PCR | MI | NS | Sample | T. gondii type | Serum | T. gondii type | |
1 | 34 | IgG+, IgM+, IgA+ | <35 | Hydrocephaly | Pos. | Pos. | IgG+ | CSF | II | Mother | II | |
IgG avidity low | NP | Chorioretinitis | IgM+ | Infant | II | |||||||
IgA+ | ||||||||||||
2 | 12 | IgG−, IgM− | Asymptomatic | Pos. | Pos. | IgG+ | AF | II | Mother | Uncertain | ||
31 | IgG−, IgM+ | IgM+ | Infant | II | ||||||||
38 | IgG+, IgM+, IgA+ | IgA+ | ||||||||||
3 | 27 | IgG+, IgM+, IgA+ | 29 | Hydrocephaly | IUD, 32 | Pos. | Pos. | ND | AF | II | Mother | II |
IgG avidity low | Infant | II | ||||||||||
4 | 35 | IgG+, IgM+, IgA+ | 32 | Hydrocephaly | NP | Pos. | Pos. | IgG+ | AF | II | Mother | II |
IgG avidity low | IgM+ | Infant | II | |||||||||
IgA− | ||||||||||||
5 | 27 | IgG+, IgM+, IgA+ | 27 | Ventriculomegaly | Pos. | Pos. | IgG+ | AF | II | Mother | II | |
IgG avidity low | IgM+ | Infant | II | |||||||||
IgA+ | ||||||||||||
6 | 29 | IgG+, IgM+, IgA+ | 28 | Hydrocephaly | IUD, 35 | Pos. | Pos. | ND | AF | II | Mother | II |
IgG avidity low | Infant | NA | ||||||||||
7 | 28 | IgG+, IgM+, IgA− | 27 | Hydrocephaly | Pos. | Pos. | IgG+ | AF | II | Mother | II | |
IgG avidity low | NP | Chorioretinitis | IgM+ | Infant | NA | |||||||
IgA+ | ||||||||||||
8 | 32 | IgG+, IgM+, IgA+ | 27 | Hydrocephaly | NP | Pos. | ND | IgG+ | AF | II | Mother | NA |
NP | Choroidoretinitis | IgM+ | Infant | NA | ||||||||
IgA+ | ||||||||||||
9 | 34 | IgG+, IgM+, IgA+ | 28 | Ventriculomegaly | Pos. | ND | IgG+ | AF | II | Mother | NA | |
IgG avidity low | NP | Chorioretinitis | IgM+ | Infant | NA | |||||||
IgA+ | ||||||||||||
10 | 28 | IgG+, IgM+, IgA+ | <28 | Hydrocephaly | ND | ND | IgG+ | CSF | NT | Mother | NA | |
IgG avidity low | IgM+ | Infant | NA | |||||||||
IgA+ | ||||||||||||
11 | 13 | IgG+, IgM+, IgA+ | Asymptomatic | Pos. | Pos. | IgG+ | AF | NT | Mother | II | ||
IgG avidity low | IgM− | Infant | II | |||||||||
IgA− | ||||||||||||
12 | 20 | IgM+ | Asymptomatic | Pos. | Pos. | IgG+ | AF | NT | Mother | II | ||
25 | IgG+, IgM+, IgA+ | IgM− | Infant | II | ||||||||
IgG avidity low | IgA− | |||||||||||
13 | 30 | IgG+, IgM+, IgA− | Asymptomatic | Pos. | Pos. | IgG+ | AF | NT | Mother | Uncertain | ||
IgG avidity low | IgM− | Infant | Uncertain | |||||||||
IgA− | ||||||||||||
14 | 28 | IgG+, IgM+, IgA+ | Asymptomatic | Neg. | Pos. | IgG+ | AF | NT | Mother | Uncertain | ||
IgG avidity low | IgM− | Infant | II | |||||||||
IgA− | ||||||||||||
15 | 27 | IgG+, IgM+, IgA+ | Asymptomatic | Pos. | Neg. | IgG+ | AF | NT | Mother | Atypical | ||
IgG avidity low | IgM+ | Infant | Atypical | |||||||||
IgA+ | ||||||||||||
16 | 30 | IgG+, IgM+, IgA+ | Asymptomatic | ND | ND | IgG+ | NB | NT | Mother | NA | ||
IgM+ | Infant | NA | ||||||||||
IgA+ | ||||||||||||
17 | 15 | IgG+, IgM+, IgA+ | Asymptomatic | ND | ND | IgG+ | NB | NT | Mother | Atypical | ||
IgG avidity low | IgM+ | Infant | Atypical | |||||||||
IgA− | ||||||||||||
18 | 32 | IgG+, IgM+, IgA− | 29 | Hydrocephaly | Pos. | ND | IgG+ | NB | NT | Mother | II | |
IgG avidity high | IgM+ | Infant | II | |||||||||
IgA− | ||||||||||||
19 | 31 | IgG+, IgM+, IgA+ | 31 | Hydrocephaly | NP | ND | ND | IgG+ | AF | NT | Mother | II |
IgG avidity low | IgM+ | Infant | II | |||||||||
IgA+ |
Abbreviations: GW, gestational week; NP, neonatal period; IUD, intrauterine death; MI, mouse inoculation; NS, neonatal serology; pos., positive result; neg., negative; ND, not done; NT, nontypeable; NA, not available; NB, neonatal blood. Mothers' serology results are given for the first available test. CSF was used for PCR or mouse inoculation in cases 1 and 18 and AF was used in the remaining cases. Uncertain refers to low values with all peptides, such that a strain type could not be reliably determined. Atypical refers to the reaction with peptides from different strain types, reflecting either mixed infection or possibly unusual genotypes. The tests used and their cutoff values are given in the text.