Herpespsis of the newborns B00.7

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Herpes-Sepsis of the newborns

Definition
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Severe, generalized initial infection with Herpes simplex virus(in 75% of cases Herpes simplex type 2), in the newborn (see also Herpes neonatorum).

Etiopathogenesis
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Infection during the passage of the birth canal when the mother is ill. Rarely infection by sick nursing staff.

Manifestation
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Especially for premature babies.

Clinical features
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Incubation period 3-6 days. Generalized vesicle eruption, aphthous changes in the mucous membranes, high fever, keratoconjunctivitis. Icterus, dyspnoea, swelling of liver and spleen, tendency to bleed, meningismus or meningoencephalitis.

Differential diagnosis
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Internal therapy
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Gamma globulins (e.g. beriglobin 0,2-0,5 ml/kg bw/day i.v.). Aciclovir (strictest indication in infancy) 3 times/day as short infusion (dosage: 380 mg/m2 KO/day).
  • Ante partum: Gamma globulin injection in the mother (e.g. beriglobin 20 ml i.m.).
  • Post partum: Gamma-globulin injection in the child (e.g. pentaglobin 3-5 ml i.v. on three consecutive days).

Progression/forecast
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In 60% of cases death within the first week, in another 20% permanent disorders.

Prophylaxis
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Abdominal incisional ligation in case of maternal disease.

Incoming links (1)

Sepsis skin changes;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020