A 32-year-old pregnant woman at 8 weeks gestation presents with fever (38.9°C), maculopapular rash on face and trunk, arthralgias, and cervical lymphadenopathy. Vital signs show HR 98/min, RR 16/min, BP 118/76 mmHg. Laboratory testing reveals positive IgM antibodies to rubella virus and normal platelet count. She denies recent vaccination. Which of the following fetal complications is she at greatest risk for given her first-trimester infection?
- A)Congenital cataracts, cardiac defects, and sensorineural hearing lossGABARITO
- B)Limb hypoplasia and cardiac anomalies
- C)Chorioretinitis and thrombocytopenia
- D)Hydrocephalus and periventricular leukomalacia
- E)Microcephaly and intracranial calcifications
Explicação
Rubella infection in the first trimester causes congenital rubella syndrome, characterized by the classic triad of cataracts, cardiac defects (patent ductus arteriosus, pulmonary stenosis), and sensorineural hearing loss. Risk is highest when infection occurs ... Ver explicação completa e trilha adaptativa →