{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T08:00:36Z","timestamp":1790668836836,"version":"4.1.0"},"reference-count":43,"publisher":"Akademiai Kiado Zrt.","issue":"39","license":[{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,9,27]]},"abstract":"<jats:p>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic>\n                    A magzati fert\u0151z\u00e9sek, k\u00fcl\u00f6n\u00f6sen a TORCH-\u00e1gensek\n                    \u00e1ltali infekci\u00f3k (toxoplasmosis, egy\u00e9b [syphilis, b\u00e1r\u00e1nyhiml\u0151], rubeola,\n                    cytomegalovirus, herpes simplex v\u00edrus), jelent\u0151s hat\u00e1ssal lehetnek a magzat\n                    n\u00f6veked\u00e9s\u00e9re \u00e9s fejl\u0151d\u00e9s\u00e9re, ez\u00e1ltal sz\u00e1mottev\u0151 morbidit\u00e1si \u00e9s mortalit\u00e1si\n                    kock\u00e1zatot hordoznak. Mivel az infekci\u00f3k t\u00f6bbnyire a velesz\u00fcletett fejl\u0151d\u00e9si\n                    rendelleness\u00e9gek megel\u0151zhet\u0151 okai, id\u0151ben t\u00f6rt\u00e9n\u0151 diagnosztiz\u00e1l\u00e1suk kiemelten\n                    fontos. Diagnosztiz\u00e1l\u00e1sukban a mikrobiol\u00f3giai, szerol\u00f3giai \u00e9s molekul\u00e1ris\n                    vizsg\u00e1latok, tov\u00e1bb\u00e1 a magzati ultrahangvizsg\u00e1lat eredm\u00e9nyeire t\u00e1maszkodhatunk.\n                    <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    A vizsg\u00e1lat c\u00e9lja az volt, hogy \u00e1tfog\u00f3 k\u00e9pet\n                    kapjunk f\u0151k\u00e9nt a magzati fert\u0151z\u00e9sek k\u00f6vetkezt\u00e9ben kialakul\u00f3,\n                    ultrahangvizsg\u00e1lattal \u00e9szlelhet\u0151 elv\u00e1ltoz\u00e1sokr\u00f3l.\n                    <jats:italic>M\u00f3dszer:<\/jats:italic>\n                    Retrospekt\u00edv adatgy\u0171jt\u00e9s keret\u00e9ben vizsg\u00e1ltuk a Szegedi Tudom\u00e1nyegyetem\n                    Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinik\u00e1j\u00e1n 2020 \u00e9s 2024 k\u00f6z\u00f6tt el\u0151fordul\u00f3 olyan\n                    eseteket, amikor magzati TORCH-fert\u0151z\u00e9s gyan\u00faja mer\u00fclt fel. Elemezt\u00fck az\n                    infekci\u00f3k el\u0151fordul\u00e1si gyakoris\u00e1g\u00e1t, valamint a t\u00e1rsul\u00f3, ultrahangvizsg\u00e1lattal\n                    detekt\u00e1lhat\u00f3 fejl\u0151d\u00e9si rendelleness\u00e9geket. Az eredm\u00e9nyeket nemzetk\u00f6zi \u00e9s hazai\n                    szakirodalmi adatokkal hasonl\u00edtottuk \u00f6ssze.\n                    <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    A\n                    vizsg\u00e1lt id\u0151szak alatt a TORCH-fert\u0151z\u00e9sek el\u0151fordul\u00e1si gyakoris\u00e1ga 0,00\u20130,14%\n                    volt, szemben az 1,2%-os nemzetk\u00f6zi adatokkal. Beteganyagunkban a\n                    <jats:italic>T.\n                        gondii<\/jats:italic>\n                    0,04\u20130,08%, a parvov\u00edrus B19 0,053\u20130,14% \u00e9s a herpes simplex\n                    v\u00edrus okozta fert\u0151z\u00e9s 0,027% gyakoris\u00e1ggal fordult el\u0151. Igazolt\n                    TORCH-fert\u0151z\u00e9sekben a leggyakrabban k\u00f6zponti idegrendszeri elt\u00e9r\u00e9s (37,5%) \u00e9s\n                    placentaoedema (37,5%) fordult el\u0151, m\u00edg egy\u00e9b elt\u00e9r\u00e9sek \u2013 magzati anaemia,\n                    hiperechog\u00e9n belek, nonimmun hydrops fetalis, polyhydramnion, pyelectasia \u2013\n                    kisebb ar\u00e1nyban (12,5%) jelentkeztek.\n                    <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic>\n                    Eredm\u00e9nyeinket \u00f6sszehasonl\u00edtva a nemzetk\u00f6zi irodalmi adatokkal, a\n                    szakirodalomban a fetalis parvov\u00edrus B19-fert\u0151z\u00e9s el\u0151fordul\u00e1si gyakoris\u00e1ga\n                    0,3\u20132,0%, a herpes simplex v\u00edrus\u00e9 ~1%, m\u00edg a\n                    <jats:italic>T. gondii\u00e9<\/jats:italic>\n                    &lt;0,03%. A nemzetk\u00f6zi irodalomban a leggyakoribb TORCH-fert\u0151z\u00e9sekhez t\u00e1rsul\u00f3\n                    magzati malformati\u00f3k a nonimmun hydrops fetalis, a k\u00f6zponti idegrendszeri\n                    malformati\u00f3k, a cardiovascularis elt\u00e9r\u00e9sek, a polyhydramnion \u00e9s a\n                    hepatosplenomegalia. Eredm\u00e9nyeink \u00e9s a szakirodalom alapj\u00e1n meg\u00e1llap\u00edthat\u00f3, hogy\n                    a magzati fert\u0151z\u00e9sek \u00e1ltal okozott elv\u00e1ltoz\u00e1sok diagnosztiz\u00e1l\u00e1s\u00e1ban a magzati\n                    ultrahangvizsg\u00e1lat mint noninvaz\u00edv diagnosztikai m\u00f3dszer, kiemelt fontoss\u00e1g\u00fa.\n                    <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    Vizsg\u00e1latunkban a TORCH-fert\u0151z\u00e9sek\n                    el\u0151fordul\u00e1si gyakoris\u00e1ga szignifik\u00e1nsan kisebb volt a nemzetk\u00f6zi szakirodalmi\n                    adatokhoz k\u00e9pest, ugyanakkor az ultrahanggal detekt\u00e1lt magzati anom\u00e1li\u00e1k\n                    megegyeztek a nemzetk\u00f6zi szakirodalmi adatokkal. A kutat\u00e1s eredm\u00e9nyei\n                    meger\u0151s\u00edtik azt a nemzetk\u00f6zi \u00e1ll\u00e1spontot, miszerint a magzati fert\u0151z\u00e9sek\n                    definit\u00edv diagnosztik\u00e1j\u00e1ban a magzati ultrahangvizsg\u00e1lat kulcsszerepet j\u00e1tszik.\n                    Orv Hetil. 2026; 167(39): 1552\u20131564.\n                  <\/jats:p>","DOI":"10.1556\/650.2026.33670","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:50:59Z","timestamp":1790668259000},"page":"1552-1564","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["A magzati infekci\u00f3k ultrahang-diagnosztik\u00e1ja: aktu\u00e1lis lehet\u0151s\u00e9gek \u00e9s korl\u00e1tok"],"prefix":"10.1556","volume":"167","author":[{"given":"Anna Laura","family":"Jagri","sequence":"first","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 1., 6725 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella","family":"Terhes","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Orvosi Mikrobiol\u00f3giai Int\u00e9zet Szeged Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K\u00e1roly P\u00e9ter","family":"S\u00e1rv\u00e1ri","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Orvosi Mikrobiol\u00f3giai Int\u00e9zet Szeged Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Szabolcs","family":"V\u00e1rb\u00edr\u00f3","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 1., 6725 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1168-7261","authenticated-orcid":true,"given":"Andrea","family":"Sur\u00e1nyi","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 1., 6725 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Creisher PS, Klein SL. 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