Neonatal HSV: Difference between revisions

(Created page with "==Background== *Causative agent: HSV-1 or HSV-2 *Risk greatest under 3 weeks of age. Greatest risk factors is primary maternal HSV at delivery. Conjunctival disease m...")
 
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Conjunctival disease may be manifestation of SEM disease.
Conjunctival disease may be manifestation of SEM disease.


===Risk Factors in Neonatal Fever==
===Risk Factors in Neonatal Fever===
{{Pediatric fever acyclovir indications}}
{{Pediatric fever acyclovir indications}}



Revision as of 19:22, 25 May 2015

Background

  • Causative agent: HSV-1 or HSV-2
  • Risk greatest under 3 weeks of age. Greatest risk factors is primary maternal HSV at delivery.

Conjunctival disease may be manifestation of SEM disease.

Risk Factors in Neonatal Fever

^Acyclovir if:

  • HSV infection in baby or mother
  • CSF pleocytoisis
  • Concerning skin lesions
  • Seizures
  • Abnormal LFTs

Clinical Features

Differential Diagnosis

Diagnosis

Management

CNS or disseminated disease

  • Acyclovir 20 mg/kg/dose Q8 IV x 21 days
  • Add Trifluridine ophthalmic solution Q2 hours for ocular involvement
  • Always refer to Ophthalmologist immediately

Disposition

See Also

External Links

References