Report of an unsual case of anophthalmia and craniofacial cleft in a newborn with Toxoplasma gondii congenital infection

Abstract Background We present one unusual case of anophthalmia and craniofacial cleft, probably due to congenital toxoplasmosis only. Case presentation A two-month-old male had a twin in utero who disappeared between the 7th and the 14th week of gestation. At birth, the baby presented anophthalmia...

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Main Authors: Gabriel Emmanuel Arce-Estrada, Valeria Gómez-Toscano, Carlos Cedillo-Peláez, Ana Luisa Sesman-Bernal, Vanessa Bosch-Canto, José Luis Mayorga-Butrón, José Antonio Vargas-Villavicencio, Dolores Correa
Format: Article
Language:English
Published: BMC 2017-07-01
Series:BMC Infectious Diseases
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12879-017-2565-8
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author Gabriel Emmanuel Arce-Estrada
Valeria Gómez-Toscano
Carlos Cedillo-Peláez
Ana Luisa Sesman-Bernal
Vanessa Bosch-Canto
José Luis Mayorga-Butrón
José Antonio Vargas-Villavicencio
Dolores Correa
author_facet Gabriel Emmanuel Arce-Estrada
Valeria Gómez-Toscano
Carlos Cedillo-Peláez
Ana Luisa Sesman-Bernal
Vanessa Bosch-Canto
José Luis Mayorga-Butrón
José Antonio Vargas-Villavicencio
Dolores Correa
author_sort Gabriel Emmanuel Arce-Estrada
collection DOAJ
description Abstract Background We present one unusual case of anophthalmia and craniofacial cleft, probably due to congenital toxoplasmosis only. Case presentation A two-month-old male had a twin in utero who disappeared between the 7th and the 14th week of gestation. At birth, the baby presented anophthalmia and craniofacial cleft, and no sign compatible with genetic or exposition/deficiency problems, like the Wolf-Hirschhorn syndrome or maternal vitamin A deficiency. Congenital toxoplasmosis was confirmed by the presence of IgM abs and IgG neo-antibodies in western blot, as well as by real time PCR in blood. CMV infection was also discarded by PCR and IgM negative results. Structures suggestive of T. gondii pseudocysts were observed in a biopsy taken during the first functional/esthetic surgery. Conclusions We conclude that this is a rare case of anophthalmia combined with craniofacial cleft due to congenital toxoplasmosis, that must be considered by physicians. This has not been reported before.
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spelling doaj.art-c6027f7b00b64b7ab9e7f1b368ffac082022-12-21T17:50:12ZengBMCBMC Infectious Diseases1471-23342017-07-011711510.1186/s12879-017-2565-8Report of an unsual case of anophthalmia and craniofacial cleft in a newborn with Toxoplasma gondii congenital infectionGabriel Emmanuel Arce-Estrada0Valeria Gómez-Toscano1Carlos Cedillo-Peláez2Ana Luisa Sesman-Bernal3Vanessa Bosch-Canto4José Luis Mayorga-Butrón5José Antonio Vargas-Villavicencio6Dolores Correa7Laboratory Inmunología Experimental, Instituto Nacional de Pediatría (INP), Secretaría de Salud, Torre de InvestigaciónLaboratory Inmunología Experimental, Instituto Nacional de Pediatría (INP), Secretaría de Salud, Torre de InvestigaciónLaboratory Inmunología Experimental, Instituto Nacional de Pediatría (INP), Secretaría de Salud, Torre de InvestigaciónServicio de Cirugía Plástica, Instituto Nacional de Pediatría (INP), Secretaría de SaludServicio de Oftalmología, Instituto Nacional de Pediatría (INP), Secretaría de SaludServicio de Otorrinolaringología, Instituto Nacional de Pediatría (INP), Secretaría de SaludLaboratory Inmunología Experimental, Instituto Nacional de Pediatría (INP), Secretaría de Salud, Torre de InvestigaciónLaboratory Inmunología Experimental, Instituto Nacional de Pediatría (INP), Secretaría de Salud, Torre de InvestigaciónAbstract Background We present one unusual case of anophthalmia and craniofacial cleft, probably due to congenital toxoplasmosis only. Case presentation A two-month-old male had a twin in utero who disappeared between the 7th and the 14th week of gestation. At birth, the baby presented anophthalmia and craniofacial cleft, and no sign compatible with genetic or exposition/deficiency problems, like the Wolf-Hirschhorn syndrome or maternal vitamin A deficiency. Congenital toxoplasmosis was confirmed by the presence of IgM abs and IgG neo-antibodies in western blot, as well as by real time PCR in blood. CMV infection was also discarded by PCR and IgM negative results. Structures suggestive of T. gondii pseudocysts were observed in a biopsy taken during the first functional/esthetic surgery. Conclusions We conclude that this is a rare case of anophthalmia combined with craniofacial cleft due to congenital toxoplasmosis, that must be considered by physicians. This has not been reported before.http://link.springer.com/article/10.1186/s12879-017-2565-8AnophthalmiaCongenital toxoplasmosisCraniofacial cleftToxoplasma gondiiCase report
spellingShingle Gabriel Emmanuel Arce-Estrada
Valeria Gómez-Toscano
Carlos Cedillo-Peláez
Ana Luisa Sesman-Bernal
Vanessa Bosch-Canto
José Luis Mayorga-Butrón
José Antonio Vargas-Villavicencio
Dolores Correa
Report of an unsual case of anophthalmia and craniofacial cleft in a newborn with Toxoplasma gondii congenital infection
BMC Infectious Diseases
Anophthalmia
Congenital toxoplasmosis
Craniofacial cleft
Toxoplasma gondii
Case report
title Report of an unsual case of anophthalmia and craniofacial cleft in a newborn with Toxoplasma gondii congenital infection
title_full Report of an unsual case of anophthalmia and craniofacial cleft in a newborn with Toxoplasma gondii congenital infection
title_fullStr Report of an unsual case of anophthalmia and craniofacial cleft in a newborn with Toxoplasma gondii congenital infection
title_full_unstemmed Report of an unsual case of anophthalmia and craniofacial cleft in a newborn with Toxoplasma gondii congenital infection
title_short Report of an unsual case of anophthalmia and craniofacial cleft in a newborn with Toxoplasma gondii congenital infection
title_sort report of an unsual case of anophthalmia and craniofacial cleft in a newborn with toxoplasma gondii congenital infection
topic Anophthalmia
Congenital toxoplasmosis
Craniofacial cleft
Toxoplasma gondii
Case report
url http://link.springer.com/article/10.1186/s12879-017-2565-8
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