Ab, two. Umi Kalsom Ali, 3. Marlyn Mohammad, 4. Ezura Madiana Md. Monoto, five. M.M. Rahman, 1-3,5: Division of Medical Microbiology Immunology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras 56000 Kuala Lumpur, Malaysia. four: Department of Loved ones Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras 56000 Kuala Lumpur, Malaysia. Correspondence: Asrul Abdul Wahab, Division of Health-related Microbiology Immunology, Faculty of Medicine, The National University of Malaysia, Cheras 56000 Kuala Lumpur, Malaysia. E-mail: asrulwahab@hotmailthe infection in the pregnant lady are essential so that you can prevent adverse outcome. CASE 1: Mrs. ZNA, a 29-year-old Malay housewife, FBPase medchemexpress Gravida 4 Para 2+1, came for antenatal booking at the main care clinic, complaining of polyuria, polydipsia and lethargy for the previous one particular week. Dating ultrasound revealed 11 weeks fetus. She was diagnosed with gestational diabetes mellitus (GDM) with fasting blood glucose of 11.0 mmol/L and subsequently referred here for further management. She also complained of itchiness at the genital location connected with whitish vaginal discharge whereby the high vaginal swab specimen for microbiology culture revealed presence of candida infection. She was subsequently treated appropriately. Routine blood investigations such as hepatitis B, human immunodeficiency virus (HIV) and syphilis serology tests have been done. The serology tests for hepatitis B and HIV had been damaging. Nonetheless, the speedy plasma reagin (RPR) was reactive at 1:16 titration. The diagnosis of syphilis was confirmed by a constructive Syphilis IgG outcome. On GSNOR Molecular Weight additional history, she admitted for the remedy of syphilis through her preceding pregnancy in 2010 at an additional hospital. She was provided 3 doses of intramuscular penicillin. Previous syphilis record showed the RPR titre was 1:eight but no subsequent follow-up.Pak J Med Sci 2015 Vol. 31 No. 1 pjms.pk Received for Publication: Revision Received: Edited by Reviewer: Accepted for Publication:June 26, 2014 July 9, 2014 September 22, 2014 September 29,Asrul Abdul Wahab et al.The diagnosis of syphilis re-infection was created and she was treated with two.4 million units of penicillin weekly for 3 doses. Her other healthcare difficulties were managed accordingly. She was discharged in the ward once the blood sugar level was optimized and continued her follow up inside the clinic. Her husband was counselled for syphilis screening but refused. Consequently, she completed the treatment for syphilis. The second and third trimester ultrasounds revealed no abnormalities. Repeated RPR at 33 weeks of gestation was non-reactive. She delivered a baby boy at 38 weeks of gestation by way of LSCS with birth weight of four.0 kg. No clinical indicators of congenital syphilis noted. Speedy Plasma Reagin (RPR) result for the infant was nonreactive. She was discharged soon after three days within the ward. Post-natal follow up was scheduled for them but she requested to become observed in an additional hospital at her hometown. CASE two: Mrs. TPS is usually a 21-year-old Chinese housewife, Gravida 1 Para 0, at 31 weeks gestation was admitted for the ward for premature contraction. She gave a 3-days history of reduced fetal movement. Antenatally, she attended antenatal check up in one more hospital. She was mildly anaemic with haemoglobin of 10.8 g/dL and was treated with oral haematinics. Otherwise it was uneventful. She lately moved to Kuala Lumpur, hence had never ever attended antenatal follow up in this hospital. Both her and her h.
