An Unusual Cause of Fetal Stroke: Secondary HSV Infection
Herpes simplex virus (HSV) is a recognized cause of neonatal infection, with hematologic vertical spread usually only during a primary infection. This is an unusual case with hematologic spread of an HSV 2 infection resulting in a fetal stroke, not associated with a primary outbreak during pregnancy...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2019/7604076 |
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| _version_ | 1850237237793390592 |
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| author | Tara Banaszek Daming Sherri Jackson |
| author_facet | Tara Banaszek Daming Sherri Jackson |
| author_sort | Tara Banaszek Daming |
| collection | DOAJ |
| description | Herpes simplex virus (HSV) is a recognized cause of neonatal infection, with hematologic vertical spread usually only during a primary infection. This is an unusual case with hematologic spread of an HSV 2 infection resulting in a fetal stroke, not associated with a primary outbreak during pregnancy. A 25-year-old multigravida at 26 weeks was diagnosed with a large fetal stroke. Previous ultrasounds showed normal anatomy. She had preterm labor and delivery, with unsuccessful neonatal resuscitation. Vesicular lesions were noted on the infant. Both the lesions and the cerebral spinal fluid were positive for HSV 2. She had documented HSV infection prior to pregnancy, indicating that this was due to a hematologic secondary infection, as there was no rupture of membranes or evidence of other modes of transmission. This case shows that, while unusual, HSV hematologic vertical transmission can occur in both primary and secondary infection during pregnancy. Infection screening is worthwhile in unexplained fetal strokes. |
| format | Article |
| id | doaj-art-1cc0e73bdfd54b4182b63a7e312a487c |
| institution | OA Journals |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-1cc0e73bdfd54b4182b63a7e312a487c2025-08-20T02:01:46ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922019-01-01201910.1155/2019/76040767604076An Unusual Cause of Fetal Stroke: Secondary HSV InfectionTara Banaszek Daming0Sherri Jackson1University of Missouri, Kansas City School of Medicine, Saint Luke’s Hospital of Kansas City, USAUniversity of Missouri, Kansas City School of Medicine, Saint Luke’s Hospital of Kansas City, USAHerpes simplex virus (HSV) is a recognized cause of neonatal infection, with hematologic vertical spread usually only during a primary infection. This is an unusual case with hematologic spread of an HSV 2 infection resulting in a fetal stroke, not associated with a primary outbreak during pregnancy. A 25-year-old multigravida at 26 weeks was diagnosed with a large fetal stroke. Previous ultrasounds showed normal anatomy. She had preterm labor and delivery, with unsuccessful neonatal resuscitation. Vesicular lesions were noted on the infant. Both the lesions and the cerebral spinal fluid were positive for HSV 2. She had documented HSV infection prior to pregnancy, indicating that this was due to a hematologic secondary infection, as there was no rupture of membranes or evidence of other modes of transmission. This case shows that, while unusual, HSV hematologic vertical transmission can occur in both primary and secondary infection during pregnancy. Infection screening is worthwhile in unexplained fetal strokes.http://dx.doi.org/10.1155/2019/7604076 |
| spellingShingle | Tara Banaszek Daming Sherri Jackson An Unusual Cause of Fetal Stroke: Secondary HSV Infection Case Reports in Obstetrics and Gynecology |
| title | An Unusual Cause of Fetal Stroke: Secondary HSV Infection |
| title_full | An Unusual Cause of Fetal Stroke: Secondary HSV Infection |
| title_fullStr | An Unusual Cause of Fetal Stroke: Secondary HSV Infection |
| title_full_unstemmed | An Unusual Cause of Fetal Stroke: Secondary HSV Infection |
| title_short | An Unusual Cause of Fetal Stroke: Secondary HSV Infection |
| title_sort | unusual cause of fetal stroke secondary hsv infection |
| url | http://dx.doi.org/10.1155/2019/7604076 |
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