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Case Reports
. 2016 Apr;91(2):216-8.
doi: 10.1590/abd1806-4841.20163870.

Cutaneous neonatal herpes simplex virus infection type 2: a case report

Affiliations
Case Reports

Cutaneous neonatal herpes simplex virus infection type 2: a case report

Maraya de Jesus Semblano Bittencourt et al. An Bras Dermatol. 2016 Apr.

Abstract

Neonatal herpes is a serious condition. Newborns can be contaminated in utero via transplacental hematogenic transmission, upon delivery (the most frequent route), or during the postnatal period (indirect transmission). Optimal management requires prompt and accurate recognition, particularly in newborns, in order to prevent complications. Acyclovir is the treatment of choice, but its implementation is often delayed while awaiting test results, such as PCR and serology. Cytology for diagnostic purposes is rarely used in dermatology, despite the quick and reliable results. We report a case of neonatal herpes caused by type 2 herpes simplex virus diagnosed by cytology.

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Conflict of interest statement

Conflict of Interest: None.

Figures

Figure 1
Figure 1
A: Erythematous plaques presenting vesicle areas grouped in herpetiform, ulceration, and scab patterns, distributed throughout the regions of the face, neck, anterior thorax, and right upper limb. B: Detail of the vesicles submitted to the cytological exam
Figure 2
Figure 2
Cytological exam stained by Giemsa, showing the presence of a large volume of multinucleated keratinocytes
Figure 3
Figure 3
Lesional aspect after ten days of treatment with acyclovir

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