Herpes sepsis of the newborn
Last Updated: 2023-07-07
Author(s): Anzengruber F., Navarini A.
ICD11: -
Last Updated: 2023-07-07
Author(s): Anzengruber F., Navarini A.
ICD11: -
Frequently life-threatening initial herpes infection (in 75% HSV type II, increasingly also HSV I) in newborns and premature babies. In 70% of cases, the genital HSV type II recurrence in the mother is asymptomatic.
Symptomatology in the early phase is often non-specific and without vesicular efflorescences. 1/3 of the newborns have generalised exanthema with herpes simplex vesicles on the skin, 1/3 show herpes vesicles only belatedly and 1/3 of the newborns remain free of skin symptoms. Aphthous mucosal changes in the sense of gingivostomatitis herpetica, reduced AZ, dyspnoea, loss of appetite, fever or hypothermia, hepatosplenomegaly, dyspepsia, icterus, bleeding tendency, keratoconjunctivitis herpetica, retroflexion of the head as a typical sign of encephalitis (meningismus, meningoencephalitis).
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Systemic therapy
Topical therapy
Zinc-containing shaking mixture
Lavasept- lsg.
Lotio alba
If necessary, paracetamol
Sufficient fluid and calorie intake
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