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deployed overseas and she had no one to help with cleaning the house. A dilatati

ID: 149177 • Letter: D

Question

deployed overseas and she had no one to help with cleaning the house. A dilatation and curettage (D&C) for missed AB (missed abortion is the technical term for miscarriage) is on the OR schedule. Danny, a CST, finished setting up and went to the preoperative care unit (PCU) to help the circulating nurse bring the patient back to the OR. The young woman was tearful and said she had been told the 16-week fetus had been infected with a parasite she may have gotten from her cat. Her husband was 1. To which parasite was she likely exposed? 2. How was she infected? 3. How was the infection transmitted to the fetus? 4. Why is she having a D&C?

Explanation / Answer

1. The woman was exposed to Toxoplasma gondii. This parasite causes toxoplasmosis.

2.The woman was infected when she came in contact with the cat's feces which contained the parasite. The cat's aquire the parasite by eating infected rodents or birds. This parasite is passed out from body through feces .

3.This parasite does not cause much trouble for healthy people.However, for an unborn baby ,it causes damage.The infection is passed to fetus through placenta.The infected mother transmits the infection to fetus through placenta.

4.D&C means DILATATION and CCURRETTAGE.This process is basically removal of tissues from uterus.It is being performed here to remove the unborn fetus from the mother's body.The fetus should be removed after miscarriage to avoid infections to mother.