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Three cases of neonatal herpes simplex virus infection presenting as fulminant hepatitis.

Authors
Publication Date
Volume
149
Issue
8
Identifiers
DOI: 10.1007/bf01957691
Keywords
  • Acute Disease
  • Acyclovir
  • Diagnosis
  • Differential
  • Female
  • Hepatitis
  • Viral
  • Human
  • Herpes Simplex
  • Humans
  • Infant
  • Newborn
  • Male
  • Necrosis
  • Simplexvirus
  • Time Factors
Disciplines
  • Medicine

Abstract

We report three cases of neonatal herpes simplex virus (HSV) infection presenting as fulminant hepatitis. None of the patients had clear risk factors for HSV infection and they all died. Antiviral treatment for HSV is currently available but must be administered early in the course of the disease before irreversible liver tissue damage is present. Since the diagnosis may be difficult to establish, we wish to draw the attention of clinicians to the presentation of neonatal HSV infection and suggest that in such cases viral cultures, including culture of liver tissue, should be obtained early and antiviral treatment administered while awaiting the culture results.

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