Torch Infection and Its Management With Ayurveda, An Indigenous Medicine

Case Report
iMedPub Journals Gynecology & Obstetrics Case Report 2018

www.imedpub.com Vol.4 No.1:59
ISSN 2471-8165
DOI: 10.21767/2471-8165.1000059
Torch Infection and its Management with Ayurveda, an Indigenous Medicine

Sukumar N, Namrata B*, Skandan KP, Anita D and Swarda U
Department of Kayachikitsa (Rasayana-Vajeekarana), Shri BMK Ayurveda Mahavidyalaya, KLE Academy of Higher Education and Research
Centre, India
*Corresponding author: Namrata B, Department of Kayachikitsa (Rasayana-Vajeekarana), Shri BMK Ayurveda Mahavidyalaya, KLE Academy of
Higher Education and Research Centre, Belagavi 590003, India, Tel: 0831 244 4444; E-mail: [email protected]
Rec date: January 21, 2018; Acc date: February 05, 2018; Pub date: February 09, 2018
Citation: Sukumar N, Namrata B, Skandan KP, Anita D, Swarda U (2018) Torch Infection and its Management with Ayurveda, an Indigenous
Medicine. Gynecol Obstet Case Rep Vol.4:No.1:59.
occur due to genetic abnormality, immune factors, life style,
ovarian factors, environmental factors stress and various
Abstract infections [5]. Prenatal and perinatal infections play important
role in manifestation of recurrent pregnancy loss under TORCH
Abortion is a personal and emotional loss to young couple acronym (Toxoplasmosis, Rubella, Cytomegalo virus, Herpes
planning to start a family. Full term delivery is necessary simplex) [6,7]. Primary infection caused by TORCH is major
for healthy progeny. Recurrent pregnancy loss is a cause of bad obstetric history [8]. Mainly if infected with
common presentation reported in childbearing age. Rubella and Cytomegalo virus pregnancy is lost through
Multifactor are responsible for pregnancy loss. TORCH spontaneous abortions [3]. This is detailed in Ayurvedic texts.
(Toxoplasmosis, Rubella, Cytomegalo virus, Herpes
simplex) infection is one among them. We present here a
case of a 32-year-old woman who approached outpatient Case Report
department of Srishti fertility centre of Shri BMK
Ayurvedic Hospital with complaint of no issues after 7 We present here a case study of a woman with TORCH
years of married life. Her history revealed she suffered infection which was successfully managed with Ayurvedic
from TORCH infection and had three abortions. She treatment. A 32-year-old female professional software
sought care at different fertility centres and underwent engineer visited outpatient department of Shristi fertility
IUI twice, with no positive result. She was treated with centre at B.M. Kankanwadi Ayurvedic Hospital KLE University
Ayurvedic medication as mentioned in classical textbooks with complaint of no issues, marital life of 7 years with trying
(1500 BC), she conceived and delivered a full term healthy period of 5 years with regular intercourse and slight
baby without any complication. dyspareunia and proper sexual knowledge. She had a history
of regular menses 4-5/28-30 days with no clots or
Keywords: TORCH; Repeated abortion; Habitual abortion; dysmenorrhea. Her past history showed no any other
Ayurveda; Pregnancy loss comorbid illness like HTN/DM. Thyroid profile was within
normal limit. She had a history of 2 abortion consecutively and
1 termination because of absence of cardiac activity and
Introduction presence of empty fetal sac in last three years. Family history
showed all family members were healthy. Her previous
Ayurveda is a well-established ancient system of medicine treatment details showed coarse of antibiotic therapy and
known to mankind. According to Ayurveda four pillars for twice IUI with no positive outcome. Clinical examination
conception are fertile period, healthy endometrium or showed her as normal.
implanting bed or uterus, proper nourishment, healthy ovum
and sperms [1]. Any derangement in these factors leads to Investigations
fetal abnormalities, causing Infertility [1]. Presently pregnancy
loss is the common presentation causing distress to couples as Previous USG scan reported pregnancy loss and termination
well as physicians. Great Ayurvedic forefathers had illustrated due to absence of fetal cardiac activity and empty fetal sac.
this under multiple concepts. Uterine abnormality is one HSG revealed presence of Right fimbrial block. Thyroid profile,
among them [1]. According to Ayurvedic classics repeated Complete blood count and Karyotyping was Normal. TORCH
abortion (Putraghni yonivyapat) is an inflammatory disorder panel revealed IgG Toxoplasmas: 6.50; IgG Cytomegalovirus:
[2], written as “early loss of pregnancy”. 239.80; IgG to Rubella: 105.50. Partner profile was normal.
It is evident that maternal infections play vital role in loss of

pregnancy [3]. Recurrent pregnancy loss is defined as three or
Discussion
more consecutive pregnancy losses at ≤ 20 weeks of On the above findings and investigations case was
gestational age or with a fetal weight <500 grams [4]. It may diagnosed to be as recurrent pregnancy loss due to TORCH.
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1
Gynecology & Obstetrics Case Report 2018
ISSN 2471-8165 Vol.4 No.1:59
This infection can be fatal by harming fetal development 2. Tripati R (2012) CharakasamhitaII. Delhi, Chaukhamba Sanskrita
leading to repeated pregnancy loss by utero infection, which Pratishthan. p. 337.
has to be treated accordingly [2,10]. During intrauterine period 3. Sadik MS, Fatima H, Patil C (2012) Study of TORCH profile with
ability of fetus to resist organisms is limited and fetal immune bad obstetric history. Biol Med 4: 95-101.
system is unable to prevent the dissemination of infectious
4. Cunningham GF, Leveno KJ, Bloom LS, HC John C, Hanth, et al.
organisms [11]. Grawhill Medical, William obstetrics, Chapter 9 Abortion (23rd
Purgation is the best treatment in inflammatory disorders edn). Catherine Y. Spong MD, MC. p. 224.
[9]. Ayurvedic treatment was started with seven days 5. Dutta DC (2005) Textbook of Obstetrics. Kolkata, New central
authentic purgation therapy with processed castor oil under book Agency(P), ltd. (7th edn). pp.159-160.
strict monitoring for detoxification of antibodies and neuro - 6. Nickerson JP, Richer B, Santy K, Lequin MH, Poretti A, et al.
endocrinal proper functioning. This is followed by herbal oral (2012) Neuroimaging of pediatric intracranial infection, Part 2:
medication* for a month aimed to achieve proper ovulation, TORCH, viral, fungal and parasitic infections. J Neuroimaging 22:
implantation, microcirculation, fetal development, immune 42-51.
modulation and prevention of abortion. Along with this local 7. Maldonado YA, Nizet V, Klein JO, Remington JS, Wilson CB (2010)
vaginal tampon insertion with medicated oil for 7 days was Current concepts of infections of the fetus and newborn infant.
done to relieve local infection and dyspareunia. Patient In Infectious Diseases of the Fetus and Newborn Infant. (7th
conceived and regular antenatal care check-up with regular edn); Remington JS, Klein JO, Wilson CB, Nizet V, Maldonado YA
USG showed wellbeing of both growing fetus and mother. She (eds) Philadelphia, PA Elsevier Saunders, USA. p. 1-23.
delivered a healthy full term normal male baby weighing 8. McCabe R, Remington JS (1988) Toxoplasmosis, the time has
2600gm with no post-delivery complications. come. New Engl J Med 318: 313-315.
9. Binnicker MJ, Jespersen DJ, Harring JA (2010) Multiplex
Conclusion detection of IgM and IgG class antibodies to Toxoplasma gondii,
Rubella virus, and cytomegalovirus using a novel multiplex flow
As a conclusion recurrent abortion due to TORCH infection immunoassay. Clin Vaccine Immunol 17: 1734-1738.
in this woman was managed with Ayurvedic treatment such as 10. Maruyama Y, Sameshima H, Kamitomo M, Ibara S, Kaneko M, et
detoxification, herbal decoctions, tablets AND local al. (2007) Fetal manifestations and poor outcomes of congenital
procedures*. In present case, patient became pregnant and cytomegalovirus infections: possible candidates for intrauterine
delivered full-term healthy baby. antiviral treatments. J Obstet Gynaecol 33: 619-623.
*Details of the oral medications and procedures will be 11. Mladina N, Mehikic G, Pasic A (2000) Torch infections in mothers
provided on request. as a cause of neonatal morbidity. Med Arch 54: 273-276.
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Case Report

iMedPub Journals Gynecology & Obstetrics Case Report 2018

Torch Infection and its Management with Ayurveda, an Indigenous Medicine

It is evident that maternal infections play vital role in loss of

© Copyright iMedPub | This article is available from: http://gynecology-obstetrics.imedpub.com/

2 This article is available from: http://gynecology-obstetrics.imedpub.com/

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