If acute toxoplasmosis is suspected in a pregnant woman: First-line spiramycin 1 g three times daily. If suspicion persists until the end of pregnancy, give spiramycin or switch to a more effective treatment (see below) in the case of clinically proven maternal toxoplasmosis. Note: spiramycin has not been available in the Netherlands since 2005.
Proven maternal toxoplasmosis (amniocentesis with positive PCR for Toxoplasma gondii): Treatment recommended from 14 weeks' gestation until 1 month before delivery: see toxoplasmosis cerebri in HIV.
Always consult a specialist centre.
If acute toxoplasmosis is suspected in a pregnant woman: First-line spiramycin 1 g three times daily. If suspicion persists until the end of pregnancy, give spiramycin or switch to a more effective treatment (see below) in the case of clinically proven maternal toxoplasmosis. Note: spiramycin has not been available in the Netherlands since 2005.
Proven maternal toxoplasmosis (amniocentesis with positive PCR for Toxoplasma gondii): Treatment recommended from 14 weeks' gestation until 1 month before delivery: see toxoplasmosis cerebri in HIV.