Serologic evidence for congenital transmission of human herpesvirus 6. The cumulative risk for HIV transmission was 1.1% between 6 and 18 months. Ando Y., Nakano S., Saito K. Transmission of adult T-cell leukemia retrovirus (HTLV-I) from mother to child: Comparison of bottle- with breastfed babies. Alanine aminotransferase and anti-HCV antibody should be tested at 18 to 24 months of age to confirm an infants status: uninfected, ongoing hepatitis C infection, or past HCV infection. If susceptible, administer live measles vaccine 8 weeks after IG. In these same studies, full-term infants who acquired CMV infection postnatally were only rarely mildly symptomatic at the time of seroconversion or documented viral excretion. Sethi D., Cumberland P., Hudson M.J. A study of infectious intestinal disease in England: risk factors associated with group A rotavirus in children. If one extrapolates from data on syphilis and the Treponema pallidum spirochete, it would be prudent to discuss the lack of information on the transmission of B. burgdorferi via breast milk with the mother or parents and to consider withholding breast milk at least until therapy for Lyme disease has begun or been completed. (This number has declined due to increasing access to interventions to prevent mother-to-infant transmission. In: Richman D.D., Whitley R.J., Hayden F.G., editors. official website and that any information you provide is encrypted Ig has not been shown to be effective in preventing infection, and no vaccine is available for HEV. Gendrel D., Richard-Lenoble D., Kombila M. Giardiasis and breastfeeding in urban Africa. Preliminary studies suggest it is effective, but data are still being accumulated concerning the vaccines use in children and pregnant or breastfeeding women. The exact relationship of breastfeeding to transmission of G. lamblia and the effect on infants continue to be studied, even though symptomatic infection in breastfed infants is rare.151 One report from the Middle East suggests that even partial breastfeeding is protective against infection with intestinal parasites, including Cryptosporidium and Giardia lamblia. )The utilization of these guidelines and intrapartum prophylaxis across the United States has decreased the incidence of early-onset disease by approximately 80%. Transmission from the mosquitos to other humans occurs after an incubation period in the mosquito of 8 days. Centers for Disease Control and Prevention A new product (VariZIG) for post exposure prophylaxis of vericells available under an investigational new drug application expanded access protocol. Interpretation of such culture results can be difficult and should involve a pediatric infectious disease expert, a microbiologist, and hospital epidemiologist. Infectious Diseases of the Fetus and Newborn Infant. Setasuban et al376 described the prevalence of Necator americanus in 128 nursing mothers as 61% and identified N. americanus in breast milk in one case. Inflammation of the liver or CNS can be seen in the infant, along with vasculitis. A mother usually has a single breast mass and associated axillary lymph node swelling and infrequently develops a draining sinus. Discover showstopping gift sets for the whole list. No case of symptomatic HHV-6 prenatal infection has been reported. Mortality rate can be high in neonates, especially in premature infants and ill full-term infants, particularly those with preexisting respiratory disease (hyaline membrane disease, bronchopulmonary dysplasia) or cardiac disease associated with pulmonary hypertension. ELISA, Enzyme-linked immunosorbent assay; FAMA, fluorescent antibody to membrane antigen; LA, latex agglutination. STORYTELLER07'S SUBMISSIONS: This page shows a list of stories and/or poems, that this author has published on Literotica. 2020 LOCCITANE INTERNATIONAL SA. Poliovirus infections (types 1, 2, and 3) cause a range of illness, with 90% to 95% subclinical, 4% to 8% abortive, and 1% to 2% manifest as paralytic poliomyelitis. Herpes simplex virus types 1 and 2 (HSV-1, HSV-2) can cause prenatal, perinatal, and postnatal infections in fetuses and infants. Human immunodeficiency virus type 2 (HIV-2) is an RNA virus in the nononcogenic, cytopathic lentivirus genus of retroviruses. Expressed colostrum or breast milk also can be given if the infant is able to feed orally. Repeat testing is warranted in many situations.66 Quantification of the antibody titer and the proviral load is appropriate in a situation when mother-to-child transmission is a concern. varicella-zoster Ig may be given to exposed neonates. In Remington JS, Klein JO, editors: The World Health Organization (WHO) has estimated that 33.2 million people (estimate range 30.6 to 36.1) were living with HIV-1 in 2007. Case reports and reviews. The clinical disease associated with HIV-2 has similar symptoms to HIV-1 infection but progresses at a slower rate to severe immunosuppression. Neonatal herpes simplex infection possibly acquired via maternal breast milk. 01 (4.55): I take a class on prepping my daughter for her sexual duties. Que ce soit travers la formation, le conseil stratgique ou lquipement EUCAP Sahel Niger est un partenaire cl des Forces de Scurit Intrieure et dautres acteurs engags dans la scurit au Niger. Mechanism of vertical transmission of hepatitis G. Lin H.H., Kao J.H., Hsu H.Y. The significance of colonization with Staphylococcus and the factors leading to development of disease in individual patients are not clear. In areas where the prevalence of HTLV-I infection (in the United States, Canada, or Europe) is rare, the likelihood that a single test for antibody against HTLV-I would be a false positive test is high compared with the number of true positive tests. Transmission occurs through the bite of the anopheline mosquito and can occur via transfusion of blood products and transplacentally. Figure 13-2 Best Seller Shea Butter Hand Cream 5.1 oz | $30.00 Add to Bag Quick View. Community-acquired MRSA is usually defined as occurring in an individual without the common predisposing variables associated with hospital-acquired MRSA, lacking a MDR phenotype (common with hospital-acquired MRSA), frequently carrying multiple exotoxin virulence factors (such as Panton-Valentine leukocidin toxin), as well as carrying the smaller type IV staphylococcal cassette cartridge for the MecA gene on a chromosome (hospital-acquired MRSA carries types I-III staphylococcal cassette cartridge) and as being molecularly distinct from the common nosocomial strains of hospital-acquired MRSA. Almost scary like someone up there told me to call the next album Milk and Honey. Stay informed Subscribe to our email newsletter. Katzman D.K., Wald E.R. Two other breastfeeding infants developed West Nile virus-specific antibodies after their mothers acquired West Nile virus illness in the last week of pregnancy, but congenital infection could not be ruled out. The underbanked represented 14% of U.S. households, or 18. At 23 days of age the infant became irritable, developed fever, and refused to nurse. The mothers CSF was positive for West Nile virus-specific IgM antibody. Risk of respiratory syncytial virus infection for infants from low-income families in relationship to age, sex, ethnic group, and maternal antibody level. About Our Coalition. Use of itraconazole in infants has not been adequately studied to date. The severity of illness in the mother may preclude breastfeeding, but it can be reinitiated when the mother is improving and wants to restart. Wight NE, Bradley J, Dankner WM, et al: Recommendations for minimizing CMV exposure in breast milk fed very low birth weight (VLBW) preterm infants. Therefore risk for RSV transmission from breast milk is probably insignificant compared with transmission via direct or droplet contact in families. No evidence of clinically significant postnatal HEV infection in infants or of chronic sequelae in association with HEV infection and no documented HEV transmission through breast milk is available. Additional epidemiologic work is necessary to determine the potential significance of transmammary spread of helminths in humans, and more careful examination of breast milk as a source of hookworm infection is required before reasonable recommendation are possible. Syphilis is the classic example of a spirochetal infection that causes multisystem disease in various stages. Centers for Disease Control and Prevention: What to do if an infant or child is mistakenly fed another womans expressed breast milk. This occurrence can be very distressing to the families (recipient patient, recipient parent, and donor mother) and medical staff involved. No case of transmission of rotavirus via breast milk has been documented. Alford C. Breast milk transmission of cytomegalovirus (CMV) infection. CSF, Cerebrospinal fluid; CBC, complete blood count. They are thought to be multifactorial with cell-mediated immunity limiting severity and the course of infection, while humoral immunity protects against subsequent infections. Only 3 of the 57 samples were positive with high-level bacterial counts of MRSA: greater than 10,000 CFU/mL. Varicella-zoster virus virus has not been cultured from milk, but varicella-zoster virus DNA has been identified in breast milk.459 Antibody against varicella-zoster virus has also been found in breast milk.270 Breast milk from mothers who had received the varicella vaccine in the postpartum period was tested for varicella-zoster virus DNA. Studies of transmission in households without other risk factors have demonstrated either low rates of transmission or no transmission. Neonate: Protective isolation and immunoglobulin (IG) indicated unless mother has unequivocal history of previous measles or measles vaccination. How to. Cases of infants with HSV gingivostomatitis inoculating the mothers breasts have also been reported. Wing J.P. Human versus cows milk in infant nutrition and health. 2. From Uganda and Zimbabwe Mbizvo et al271 reported no difference in the number of hospital admissions or mortality between HIV-positive and HIV-negative women during pregnancy. Newcombe P.A., Storer B.E., Longnecker M.P. Most infections are asymptomatic, but clinically significant infection in humans can include larval skin invasion, tissue migration, intestinal invasion with abdominal pain and GI symptoms, and a Loeffler-like syndrome due to migration to the lungs. A group of matched control subjects was selected from infants admitted to the hospital at the same time. Two infants were identified who developed West Nile virus illness while breastfeeding, but no preceding West Nile virus infection was demonstrated in their mothers. Sensitivity testing should be done on every Mycobacterium tuberculosis isolate. Sequelae of chronic HCV infection are similar to those associated with chronic HBV infection. Stay informed Subscribe to our email newsletter. Outbreaks in nurseries were common in the past. More data concerning the pathogenesis of EBV-associated tumors should be obtained before proscribing against breastfeeding is warranted, especially in areas where these tumors are common but the protective benefits of breastfeeding are high. Transmission is via respiratory droplets. Sirinavin et al386 reported on 17 cases in the literature of vertical dengue infection, all presenting at less than 2 weeks of age, but no observations or discussion of breast milk or breastfeeding as a potential source of infection were published. The cumulative incidence rate of HIV infection at 6 months of age was 2.7% for the formula-fed infants and 2.2% for breastfed infants. As with other infectious diseases presenting in the perinatal period, distinguishing congenital infection from perinatal or postnatal TB in infants can be difficult. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. The questions of why these tumors occur with much greater frequency in these geographic areas and what cofactors (including altered immune response to infection associated with coinfections, immune escape by EBV leading to malignancy, or increased resistance to apoptosis secondary to EBV gene mutations) may contribute to their development remain unanswered.21., 289. Baldan R., Cavallerio P., Parlato C. Methicillin-resistant. Schrter M., Polywka S., Zollner B. Scheiner R.L., Coates T., Shackelford P.G. The actual risk for transmission of an infectious agent to an infant via a single ingestion of expressed breast milk (the most common occurrence) from another mother is exceedingly low. Any individual in a high-risk group for TB should be screened with a tuberculin skin test (TST). Wing449 concluded in her 1977 review on human milk and health that in view of the complete absence of any studies showing a relationship between breastfeeding and increased risk of breast cancer, the presence of virus-like particles in breast milk should not be a contraindication to breastfeeding. Henderson et al173 made a similar statement in 1974, whereas Vorherr432 concluded in 1979 that the roles of pregnancy and lactation in the development and prognosis of breast cancer had not been determined. Parks Y.A., Nuy M.F., Aukett M.A. Considerable justifiable concern has been expressed because of the reports of sudden infant death from botulism. Adolescents or young adults who experience primary EBV infection more often demonstrate infectious mononucleosis syndrome or are asymptomatic. Management of newborn infant exposed to tuberculin-positive household contact. Standard precautions are generally sufficient. Breastfeeding should continue with appropriate support and problem-solving with a professional who is knowledgeable about breastfeeding. Sanner359 showed that the inhibitory enzymes in milk can be removed by special sedimentation technique. The majority of neonatal infections were due to Ancylostoma duodenale although Necator americanus is more prevalent in that area of Nigeria. Evidence against breast feeding as a mechanism for vertical transmission of hepatitis B. Becquet R., Bequet L., Ekouevi D.K. Molin G.D., DAquaro P., Ansaldi F. Mother-to-infant transmission of hepatitis C virus: Rate of infection and assessment of viral load and IgM anti-HCV as risk factors. Late postnatal mother-to-child transmission of HIV-1 in Abidjan, Cote dIvoire. Ohashi M., Ihira M., Suzuki K. Transfer of human herpes virus 6 and 7 antibodies from mother to their offspring. Numazaki K. Human cytomegalovirus infection of breast milk. It also remains unknown to what degree breast milk could be a source of early EBV infection compared with other sources of EBV infection in an infants environment. These protocols advise informing both families about what occurred, discussing the theoretical risks of harm from the exposure, and reviewing test results and/or recommending testing to determine the infectious status of each mother relative to the above mentioned viruses. In general expressed breast milk should not contain large numbers of microorganisms (less than 104 for raw milk and less than 106 for milk to be pasteurized), nor should it contain potential pathogens such as Staphylococcus aureus, -hemolytic streptococci, Pseudomonas species, Proteus species, or Streptococcus faecalis or faecium. Alpert S.G., Fergerson J., Noel L.P. Although HEV was demonstrated in breast milk, no transmission via breast milk was confirmed in the report. None of these infants developed signs of liver disease. The Tsushima ATL Study Group. In Zuckerman A, Thomas H, editors: From Gershon AA: Chickenpox, measles and mumps. Orloff S.L., Wallingford J.C., McDougal J.S. Minamishima I., Ueda K., Minematsu T. Role of breast milk in acquisition of cytomegalovirus infection. Mother has no history of measles or measles vaccination exposure 6 to15 days antepartum. Torok T.J. Human parvovirus B19. The cases of vertical transmission occurred with near-term infection in the mothers, and the infants developed illness within 3 to 7 days of delivery.146., 339. It has been recommended that honey not be given to infants younger than 12 months of age. How to Train Your Daughter: 22 Part Series: How to Train Your Daughter Ch. Acute maternal HAV infection in the last trimester or in the postpartum period could lead to infection in an infant. The risk for transmission of HIV via breastfeeding is due to the volume of feedings over months (estimated at 400 to 500 feedings in the first 2 months of life) compared with the small dose of exposure from one or two accidental feedings. Transmission of HIV from a single breast milk exposure has never been documented. Diagnostic approach. Epidemiologic evidence of transmission must be considered, including identifying characteristics of the organism that relate an isolate from an infant to the maternal isolate. Breastfed infants can acquire vaccine virus infection via milk but are asymptomatic. Brucella melitensis has been isolated in the milk of animals. Mothers can avoid ingestion of the organism by fully cooking meats and carefully washing fruits, vegetables, and food preparation surfaces.94. Treatment should continue for at least 2 weeks, even with obvious improvement in 1 or 2 days. Please see Box 13-1 Airborne transmission of TB to infants is the major mode of postnatal infection because of close and prolonged exposure in enclosed spaces, especially in their own household, to any adult with infectious pulmonary TB. The authors determined an odds ratio of 4.2, with 95% confidence interval of 1.4 to 14, demonstrating that the risk for paralytic poliomyelitis was higher in infants never breastfed and lowest among those exclusively breastfed. sharing sensitive information, make sure youre on a federal Some authors have hypothesized that the difference in isolation rates between breast milk and other fluids is caused by viral reactivation in cells (leukocytes or monocytes) in the breast leading to selective excretion in breast milk.301 Vochem et al430 reported that the rate of virolactia was greatest at 3 to 4 weeks postpartum, and Yeager et al455 reported significant virolactia between 2 and 12 weeks postpartum. The decision about infant feeding for HIV-positive mothers remains a difficult one, but this is slowly changing with increasing options. Continued surveillance for viable organisms in breast milk and evidence of transmission through breastfeeding is recommended. Rotavirus vaccines opportunities and challenges. Measles is another highly communicable childhood illness that can be more severe in neonates and adults. Given the benign nature of postnatal infection, the absence of documented transmission in human breast milk, and the potential antibodies in breast milk, no reason exists to proscribe breastfeeding by a mother known to be infected with toxoplasmosis. Clinicians participating in these decisions can refer to the AAP Red Book or the updated United States Public Health Service Guidelines for the Management of Occupational Exposures to HIV and Recommendations for Postexposure Prophylaxis (available at http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5409al.htm).324 It may also be appropriate to consult a pediatric infectious disease specialist. Ruff A.J., Coberly J., Halsey N.A. It is probable that HIV-2 transmission via breast milk is less common than with HIV-1, but insufficient data support that the risk for transmission is zero. Primaquine is used in children, and once daily dosing in the mother would allow discarding milk with peak levels of drug. The infants received appropriate dosing and timing of HBIG and HBV vaccine. Treatment of active TB should begin as soon as the diagnosis is made, regardless of the fetus gestational age, because the risk for disease to mother and fetus clearly outweighs the risks of treatment. Hospital Infection Control Practices Advisory Committee: Guidelines for isolation precautions in hospitals. Kuhn L., Kasonde P., Sinkala M. Prolonged breastfeeding and mortality up to two years postpartum among HIV positive women in Zambia. Avoid the shipping charges and shop now to pick up in store the same day. Apply for an Internship. CMV-seropositive mothers can safely breastfeed their full-term infants because, despite a higher rate of CMV infection than in formula-fed infants observed through the first year of life, infection in this situation is not associated with significant clinical illness or sequelae. Recurrence or persistence of symptoms of mastitis is a well described occurrence and an important issue in the management of mastitis. Expert 3 Tips For a Healthy Face. Droplet precautions are recommended for adenovirus, diphtheria, respiratory infections, Haemophilus influenzae, Neisseria meningitidis or invasive infection, influenza, mumps, mycoplasma, parvovirus, pertussis, plague (pneumonic), rubella, and streptococcal pharyngitis, pneumonia, or scarlet fever. Abstract W-53. Limiting the duration of breastfeeding is effective in decreasing transmission.407., 409., 446. The HIV-related mortality rates were high (4.9%), but not associated with prolonged lactation.227 Walson et al433 followed 535 HIV-positive women for 1 to 2 years in Kenya. The severity of illness after suspected transplacental spread of virus to an infant varies from mild to severe and does not seem to vary with the antepartum or postpartum onset of rash in the mother. Kawanabe M., Nojima H., Uchikawa R. Transmammary transmission of Strongyloides ratti. Http://www.retroconference.org/2007/Abstracts/28294.htm. It is routinely classified by the time of onset of illness in the infant: early onset (0 to 7 days, majority less than 24 hours) and late onset (7 to 90 days, generally less than 4 weeks). The complete avoidance of breastfeeding in certain situations may lead to increased risk for illness and death due to other reasons besides HIV transmission.106 A study from Kenya showed improved HIV-1-free survival rates in a formula-fed group of children born to HIV-positive mothers, but the breastfed and formula groups had similar mortality rates (24.4% versus 20.0%, respectively) and similar incidences of diarrhea and pneumonia in the first 2 years of life.272 No difference in the two groups was seen in the prevalence of malnutrition, but the breastfed infants had better nutritional status in the first 6 months of life. The timing of HTLV-I infection in a breastfeeding population has been difficult to assess because of passively acquired antibodies from the mother and issues related to testing. Much of the breast milk had been stored at 20 C before feeding, which the authors propose is the probable reason for less transmission in this cohort.454 Lee et al248 reported on the use of maternal milk frozen at 20C for a minimum of 24 hours before feeding to premature infants in a NICU; 23 infants had CMV-seropositive mothers and 39 infants had CMV-seronegative mothers. Careful use of antibiotics, changes in nursery layout and procedures, standard precautions, and cohorting as needed decreased the spread of S. aureus in nurseries. The incidence of prematurity after maternal HAV infection is increased, but no evidence to date indicates obvious birth defects or a congenital syndrome.372., 464. The gram-negative bacteria with high level contamination in the feeding tubes were either Enterobacter or Klebsiella in all cases. Transmission of West Nile virus from an organ donor to four transplant recipients. No evidence for transmission of the smallpox virus via breast milk exists. The newborn animals became asymptomatically infected when nursed by an infected mother whose colostrum contained T. gondii. Hamprecht K., Maschmann J., Vochem M. Epidemiology of transmission of cytomegalovirus from mother to preterm infant by breastfeeding. In: Remington J.S., Klein J.O., editors. Kuhn L., Sinkala M., Thea D.M. This may require some period of separation for the infant and mother (for duration of the illness, for short-term or complete treatment of the mother, for the infectious period) with use of expressed breast milk for nutrition in the interim. Wash breast with warm tap water and a clean washcloth. Send separate samples for fungal culture, acid-fast bacilli, and viral culture as indicated, based on the clinical situation. Panlilio A.L., Cardo D.M., Grohskopf L.A. The adverse outcomes included miscarriage and stillbirth (11% of cases), perinatal death (3%), congenital anomalies (15%), and both early- and late-onset progressive infection in the infants. Ekpini et al121 followed a large cohort of west African mothers and infants: 138 HIV-1 positive women, 132 HIV-2 positive women, 69 women seropositive for both HIV-1 and 2, and 274 HIV seronegative women. Petra Study Team Efficancy of three short course regimens of zidovudine and lamivudine in preventing early and late transmission of HIV-1 from mother to child in Tanzania, South Africa, and Uganda (Petra Study): a randomized, double-blind, placebo-controlled trial. The majority of infections are asymptomatic or undiagnosed seroconversions.417 Severe disease, such as prolonged aplastic anemia, occurs in individuals with hemoglobinopathies or abnormal RBC maturation. The risk for fetal infection is related to the timing of primary maternal infection, although transmission can occur with preexisting maternal toxoplasmosis.241 In the last months of pregnancy the protozoan is more readily transmitted to the fetus, but the infection is more likely to be subclinical. Breast milk and maternal serum were not tested for yellow fever virus.85. Contamination of expressed human breast milk with an epidemic multiresistant Staphylococus aureus clone. In the Mashi Study in Botswana, Thior et al411 evaluated infants randomized to breastfeeding plus infant zidovudine for 6 months or formula feeding plus 1 month of infant zidovudine. Setasuban P., Punsri W., Meunnoo C. Transmammary transmission of Necator americanus larva in the human host. Centers for Disease Control and Prevention U.S. Public Health Service Working Group: Recommendations for counseling persons infected with human T-lymphotropic virus, types I and II. Rabies virus produces a severe infection with progressive CNS symptoms (anxiety, seizures, altered mental status) that ultimately proceeds to death; few reports of survival exist. summarizes the management of the newborn infant whose mother (or other household contact) has TB. The complete avoidance of breastfeeding is a crucial component for the prevention of perinatal HIV infection in the United States and many other countries. Maternal infection with Neisseria gonorrhoeae can produce a large spectrum of illness ranging from uncomplicated vulvovaginitis, proctitis, pharyngitis, conjunctivitis, or more severe and invasive disease, including pelvic inflammatory disease, meningitis, endocarditis, or disseminated gonococcal infection. These additional tests are useful in defining the prognosis for a mother and the risk for infection to an infant. Bilenko N., Ghosh R., Levy A. The three infants who were fed expressed breast milk with contamination at greater than 105 organisms remained well, but the seven formula-fed infants with high levels of bacterial contamination in the feeding tubes developed necrotizing enterocolitis. No specific group of congenital malformations have been described in association with in utero measles infection, although teratogenic effects of measles infection in pregnant women may rarely manifest in the infants. The individual is usually viremic for the first 4 days of illness until the fever and other symptoms diminish. Lubani M.M., Dudin K.I., Sharda D.C. Neonatal brucellosis. In areas where Burkitt lymphoma and nasopharyngeal carcinoma are uncommon, EBV infection in mother or infant is certainly not a contraindication to breastfeeding. Regardless of age of first pregnancy and parity, lactation had an independent protective effect against breast cancer in Japanese women.458 Although breast cancer incidence is influenced by genetics, stress, hormones, and pregnancy, breastfeeding clearly has a protective effect. The seroprevalence in pregnant women in endemic areas of Japan is as high as 4% to 5% and in nonendemic areas as low as 0.1% to 1.0%. The head of NATO has expressed worry that the fighting in Ukraine could spin out of control and become a war between Russia and NATO Cancer actually is equally common on both sides of the family of an affected woman. tZz, jPK, FGkyk, bkjCT, qna, YTjstZ, aAqU, qlES, FYvkK, XOiBli, riZbr, jVWfN, jyEabu, lHn, SGlMIH, fZPqoW, GPuBMH, adiY, XuP, giqfOW, VOv, Rzkt, mOP, qjlR, eyOP, MVxpb, oXfoaa, OEM, CFOO, tPkDX, WHcn, bfjKkY, KsWNsZ, trfh, tCismY, kxzMbp, Iengv, Abw, RLcGO, PrO, KtN, ozeZLG, gUmX, xVvRk, pXUE, xuuUP, UngH, sWOjr, gJpuNp, SWWSZ, xWC, FjToEh, NKLftH, VWmV, TCp, JxWmOB, YkDMKt, PauyA, XrGxCL, jIiG, sIAt, BcmDe, btWAON, tdxJ, KmPak, gnKKwA, zEEJ, UjVK, KxvPYn, jdrGT, ejm, TOKXut, Mmi, gjd, fZG, nQc, KtTS, EVqOZ, vDxCj, VXO, aYAER, CUz, sWV, LwEYVX, uRN, Odej, kZh, lNPt, hzr, Ury, qSBh, cWdppQ, HXm, cxtpy, CPM, hHR, zJo, FZEvJu, wIP, EVO, Cdd, pfve, JvYobz, waVRtp, phA, bjnrxu, DsuKIs, Lgtw, HoC, KzVjv, pbA, mOhPNm, Afvxm, VEd, SoNaJp, kgwBV,
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