Congenital HSV: Difference between revisions

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** Do not send superficial swabs for PCR during the first 24 hours of life, since this can generate false positive from superficial contamination from the birthing process
** Do not send superficial swabs for PCR during the first 24 hours of life, since this can generate false positive from superficial contamination from the birthing process


[[Category:Pediatrics]]
[[Category:Congenital infections]]
[[Category:Viruses]]
[[Category:Infectious diseases]]

Latest revision as of 16:22, 20 September 2020

Background

  • Occurs in children born to mothers who had primary HSV-1 or HSV-2 during pregnancy

Clinical Manifestations

  • Characterized by microcephaly, hydrocephalus, chorioretinitis, and skin findings
    • Rash may be vesicular, bullous, or cicatricial
    • Rash either present at birth or within a few days
    • Two thirds have severe CNS involvement

Diagnosis

  • Most commonly made with PCR of lesions or CSF
    • Do not send superficial swabs for PCR during the first 24 hours of life, since this can generate false positive from superficial contamination from the birthing process