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. 1997;5(6):380–385. doi: 10.1155/S1064744997000690

Vertical Transmission of Herpes Simplex Virus Acquired After Primary Outbreak in Second Trimester of a Dichorionic Twin Gestation

G M Joffe 1,2,, K Olson 1, T L Merlin 1, A Brown 1
PMCID: PMC2364593  PMID: 18476192

Abstract

Background: The incidence of genital herpes simplex virus (HSV) has increased in recent years, particularly among women of reproductive age. This places more neonates at risk for severe morbidity and mortality. Treatment recommendations for primary disease in pregnancy are lacking, particularly for those who acquire. HSV remote from term.

Case: A patient at 17 weeks of gestation carrying dichorionic twins developed primary herpes with subsequent vertical transmission of the virus and significant neonatal morbidity.

Conclusion: Data regarding risks and benefits of treatments such as acyclovir and immunoprophylaxis are lacking at a time when the incidence of HSV infection is on the rise.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brown Z. A., Benedetti J., Ashley R., Burchett S., Selke S., Berry S., Vontver L. A., Corey L. Neonatal herpes simplex virus infection in relation to asymptomatic maternal infection at the time of labor. N Engl J Med. 1991 May 2;324(18):1247–1252. doi: 10.1056/NEJM199105023241804. [DOI] [PubMed] [Google Scholar]
  2. Brown Z. A., Selke S., Zeh J., Kopelman J., Maslow A., Ashley R. L., Watts D. H., Berry S., Herd M., Corey L. The acquisition of herpes simplex virus during pregnancy. N Engl J Med. 1997 Aug 21;337(8):509–515. doi: 10.1056/NEJM199708213370801. [DOI] [PubMed] [Google Scholar]
  3. Brown Z. A., Vontver L. A., Benedetti J., Critchlow C. W., Sells C. J., Berry S., Corey L. Effects on infants of a first episode of genital herpes during pregnancy. N Engl J Med. 1987 Nov 12;317(20):1246–1251. doi: 10.1056/NEJM198711123172002. [DOI] [PubMed] [Google Scholar]
  4. Centers for Disease Control and Prevention (CDC) Pregnancy outcomes following systemic prenatal acyclovir exposure--June 1, 1984-June 30, 1993. MMWR Morb Mortal Wkly Rep. 1993 Oct 22;42(41):806–809. [PubMed] [Google Scholar]
  5. Cook C. R., Gall S. A. Herpes in pregnancy. Infect Dis Obstet Gynecol. 1994;1(6):298–304. doi: 10.1155/S1064744994000293. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Fleming D. T., McQuillan G. M., Johnson R. E., Nahmias A. J., Aral S. O., Lee F. K., St Louis M. E. Herpes simplex virus type 2 in the United States, 1976 to 1994. N Engl J Med. 1997 Oct 16;337(16):1105–1111. doi: 10.1056/NEJM199710163371601. [DOI] [PubMed] [Google Scholar]
  7. Peng J., Krause P. J., Kresch M. Neonatal herpes simplex virus infection after cesarean section with intact amniotic membranes. J Perinatol. 1996 Sep-Oct;16(5):397–399. [PubMed] [Google Scholar]

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