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HSV Infection (Clinical Manifestations (CNS ((1/3) Encephalitis, Lethargy,…
HSV Infection
Clinical Manifestations
90% intrapartum transmission
Skin/Eye/Mucocutaneous membranes (SEM) - 50%
Cluster of vesicles on presenting part - 6-9days old
Late neurologic impairment
Keratoconjunctivitis
chorioretinitis, cataracts, & retinopathy
CNS
(1/3) Encephalitis
Lethargy
Seizures
Temperature instability
Hypotonia
Disseminated - Most SEVERE
Pneumonitis
Fulminant hepatitis
Encephalitis
Greater Mortality with
Clinical Symptoms:
Seizures
Shock
Respiratory distress
Disseminated Intravascular Coagulation (DIC)
Respiratory failure
Long-term Risks
CNS
Acute HSV Encephalitis
Microcephaly
Deafness
Chorioretinitis
Learning disabilities
Long term morbidity
Infant Diagnostic Tests
:star: PCR of skin lesion, blood or CSF
Treatment
:star: Acyclovir - critical timing; do not delay tx