[Intro: 128 BPM. A heavy, distorted kick drum starts pounding. A dark, buzzing synthesizer begins a fast arpeggio. The female vocalist speaks with cold, robotic precision, setting the stage over the rising beat.] TORCHES Prenatal infections: Cytomegalovirus, Zika, parvo, Varicella, Rubella, herpes, HIV, EBV, Herpes 6, 7, Hepatitis B, C That is all Perinatal/intrapartum: herpes, HIV, Hepatitis B, C, Enterovirus, Varicella, Cytomegalo, adeno That is all [Chorus 1 / The Rubella Hook: The bass drops instantly into a massive, infectious pop groove. The vocalist sings the first lines with a rhythmic, bouncing pop-hook style (heavy homage to "Umbrella"). On the phrase "IN THEIR HEAD," a heavy robotic vocoder joins her.] Rubella, Rubella, Rubella, ella ella Rubella,: growth restriction,microcephaly, microphthalmia, cataracts, glaucoma, “salt and pepper” chorioretinitis, IN THEIR HEAD hepatosplenomegaly, jaundice, PDA, deafness, blueberry muffin rash, anemia, thrombocytopenia, leukopenia, metaphyseal lucencies, B-cell and T-cell deficiency NEXT [Verse 1 / The Cytomegalo & Toxo Chant: The beat becomes a fierce, driving tribal house rhythm. The vocalist chants the names like a dark incantation, her voice echoing widely across the stereo field.] Cytomegalo, Cytomegalo, Cytomegalo, Cytomegalo Sepsis, intrauterine growth restriction, chorioretinitis, microcephaly, periventricular calcifications, IN THEIR HEAD blueberry muffin rash, anemia, thrombocytopenia, neutropenia, hepatosplenomegaly, jaundice, deafness, pneumonia NEXT Toxoplasma, Toxoplasma, Toxo toxo toxoplasma Hydrocephalus, abnormal spinal fluid, intracranial calcifications, chorioretinitis, jaundice, hepatosplenomegaly, fever NEXT [Verse 2 / The Skin & Bones Section: The high-hats start ticking rapidly. The vocalist delivers the lines with sharp, fast-paced syncopation.] Herpes, herpes, herpes: If Intrauterine: chorioretinitis, skin lesions, microcephaly If Postnatal: encephalitis, skin vesicles, keratoconjunctivitis NEXT [Chorus 2 / The Varicella Return: The huge, bouncy Eurodance hook returns, catching the "ella" rhythm once again. The synths are bright and flashing.] Varicella, Varicella, cella, cella, ella , ella, Varicella, Microphthalmia, cataracts, chorioretinitis, cutaneous and bony aplasia/ hypoplasia/atrophy, cutaneous scars NEXT [Bridge / The Late Stage: The heavy beat cuts out entirely. Only a menacing sub-bass and the robotic male vocoder remain, delivering the Syphilis and Parvo data like a critical system warning.] Syphilis, syphilis, syphilis, philis philis syphilis If at birth: nonimmune hydrops, prematurity, anemia, neutropenia, thrombocytopenia, pneumonia, hepatosplenomegaly If Late neonatal: rhinitis, rash, hepatosplenomegaly, condylomata lata, metaphysitis, cerebrospinal fluid pleocytosis, keratitis, periosteal new bone, lymphocytosis, hepatitis Parvovirus means: Nonimmune hydrops, fetal anemia [Breakdown / The Eye Protocols: The 128 BPM beat sneaks back in, building tension with a rising snare-drum roll. The female vocalist returns to her fierce, rapid-fire pop delivery, dropping the medical facts with absolute attitude.] Neonatal chlamydial conjunctivitis develops 5–14 days to several weeks after birth and lasting 1–2 weeks. vary from mild conjunctivitis to intense inflammation Both eyes are almost always involved; Pneumonia can occur AND Infants with conjunctivitis and pneumonia treated with oral azithromycin for 3 days or erythromycin for 14 days. Topical treatment of conjunctivitis is ineffective and unnecessary. topical prophylaxis with silver nitrate, erythromycin, or tetracycline for all newborns for gonococcal ophthalmia does not prevent chlamydia. [Climax / The Neisseria Drop: Absolute club chaos. Sirens wail in the background. Massive synthesizer chords blast on every beat. The vocalist belts out the final instructions like a dancefloor commander.] NEISSERIA GONORRHOEAE infection is ophthalmia neonatorum usually is present within the first 5 days of life characterized initially by a clear, watery discharge, rapidly becomes purulent. marked conjunctival hyperemia and chemosis treatment for ophthalmia neonatorum is one dose of ceftriaxone Topical therapy alone is inadequate and is unnecessary They should be hospitalized and evaluated for disseminated disease Test for concomitant infection with chlamydia, syphilis, and HIV AND scalp abscesses, vaginitis, and disseminated disease also possible [Ending: A massive, echoing snare hit. The heavy bass drops out. The female vocalist whispers "also possible" with a heavy delay that bounces left and right until it fades to total silence.]
