Genital zoster in near term pregnancy: Case report and need of management guidelines
| Autor: | Anne-Sophie L’Honneur, Lionel Carbillon, Alice-Andrée Mariaggi, J. Boujenah, Flore Rozenberg |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Genital herpes simplex viruses Pregnancy Trimester Third medicine.disease_cause Herpes Zoster 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Humans Sex organ Pregnancy Complications Infectious 030219 obstetrics & reproductive medicine Herpes Genitalis Term pregnancy business.industry Varicella zoster virus Infant Newborn virus diseases Obstetrics and Gynecology medicine.disease Dermatology Herpes simplex virus medicine.anatomical_structure Reproductive Medicine 030220 oncology & carcinogenesis Practice Guidelines as Topic Gestation Female business Sacral ganglia |
| Zdroj: | Journal of gynecology obstetrics and human reproduction. 49(2) |
| ISSN: | 2468-7847 |
| Popis: | Genital herpes simplex infection close to delivery may be transmitted to the newborn. Guidelines for genital herpes during pregnancy have been elaborated to reduce the risks of neonatal herpes. Genital herpes zoster due to reactivation of varicella zoster virus (VZV) from sacral ganglia is an under recognized cause of genital lesions. The risks of genital zoster near delivery for the newborn have not been evaluated. No guidelines have taken into account this rare viral infection during pregnancy. A pregnant woman at 38 weeks gestation presented herpes-like genital vesicular lesions in absence of herpes simplex virus (HSV) past history. Rapid HSV molecular testing was negative despite clinically suggestive lesions. A control multiplex PCR was performed, which evidenced VZV. The woman was treated with acyclovir until delivery. The newborn was healthy. VZV should be investigated in HSV- negative herpes-like genital lesions during pregnancy. Diagnosis of genital lesions requires virological confirmation to adapt obstetrical and neonatal management. |
| Databáze: | OpenAIRE |
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