The TORCH panel may be ordered when an infant shows any signs or symptoms suggestive of the infections included in the panel, such as: Exceptionally small size relative to the gestational age Deafness Developmental delays Seizures Heart defects Cataracts Enlarged liver or spleen Low platelet level JaundiceThe ToRCH panel is a group of tests used to screen newborns and, sometimes, pregnant women for certain infections that can cause birth defects in a baby if the mother contracts them during the pregnancy. The tests detect antibodies produced by the immune system when exposed to the infectious diseases. Some of the antibody tests are ordered individually, the complete ToRCH panel is less commonly ordered since more specific and sensitive tests to detect these infections are available. The blood tests included in this panel: Toxoplasma Rubella Cytomegalovirus (CMV) Herpes simplex virus (HSV) 1 & 2 Any 4 of - Toxoplasma IgG, Toxoplasma IgM, Rubella IgG, Rubella IgM, CMV IgG, CMV IgM, Herpes simplex Virus 1 IgG, Herpes simplex Virus1 IgM, Herpes simplex Virus 2 IgG & Herpes simplex Virus 2 IgM Any 4 of - Toxoplasma IgG, Toxoplasma IgM, Rubella IgG, Rubella IgM, CMV IgG, CMV IgM, Herpes simplex Virus 1 IgG, Herpes simplex Virus1 IgM, Herpes simplex Virus 2 IgG & Herpes simplex Virus 2 IgM