Thursday, May 9, 2013

Herpes simplex in a newborn


Herpes simplex in newborn always mean a serious viral infection that affects important organs (brain, liver, lungs) and often leaves permanent damage or fatal.



Herpes simplex virus infection of the 2500 - 5000 newborns in the United States. A child can become infected before or after birth. Mothers and babies are usually not aware that they carry the virus and have no symptoms at the time of delivery. Symptoms and Diagnosis The first symptoms usually occur between the first and second week, although they may miss up to four weeks after birth. The disease may start a rash, small fluid-filled blisters, however, 45% of infected newborns no skin rash. If they are treated within 7-10 days performing severe symptoms. There is a variable body temperature, lethargy and convulsions of the involvement of the brain, muscle laxity, difficulty breathing, inflammation of the liver (hepatitis) and blood clots in the blood vessels throughout the body. fluid-filled blisters are easily identified as a sign of herpes infection, while other symptoms are not so specific. Infection is usually proved by virus isolation from the content of bubbles, and the process takes 24-48 hours. Herpes simplex virus can also be detected in a sample of urine, secretions conjunctiva of the eye and nostril, in a sample of blood or cerebrospinal fluid. Prognosis and treatment if they are not treated, died about 85% of newborns with the disease extended to multiple organs. When confined to the skin, eyes and mouth, mortality is rare, but about 30% of these infants have some brain damage or nerve that can remain unnoticed until 2 or 3-ge-going age.treatment antiviral drug such as acyclovir reduces mortality by about 50% and significantly increases the number of children with herpes who will develop normally. Eye infections are usually treated with drops or ointment or grease trifluridina idoxuridin.

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