o [ abdominal pain pediatric ] In some neonates with encephalitis, virus is present only in the CNS. Discuss this with a doctor at your nearest STD clinic. (1,2) . Everyone should wash their hands before touching the newborn. Then, blisters form near your fingernail, which causes your skin to be tender and sensitive. "@type": "MedicalWebPage", If youve noticed that your baby seems listless, unresponsive, and has breathing difficulties, head to emergency room immediately. They may also appear on the nose, chin, and cheeks. Most people notice . Brought to you by Merck & Co, Inc., Rahway, NJ, USA (known as MSD outside the US and Canada) dedicated to using leading-edge science to save and improve lives around the world. Rash is red, itchy, and slightly raised. Oral Herpes Overview Oral herpes is an infection caused by the herpes simplex virus. At delivery The third trimester represents the phase when the probability of passing HSV from a mother to a child significantly increases. How can a baby catch neonatal herpes? The symptoms can seem like a bad case of the flu. Even with this treatment, some newborns can suffer death or brain damage from HSV infection. Refrain from kissing your baby if you have cold sores or ulcers. Cold sores in kids usually start as small blisters around the mouth and lips. o [ pediatric abdominal pain ] Additional care, such as fluids and breathing support, is provided as needed. Newborns may become infected at birth or after birth. Symptoms include sluggishness, diminished muscle tone, breathing problems, pauses in breathing (apnea), and seizures. The percentage of all infected newborns with neonatal herpes catching the virus after birth is about 10 percent. Some people get a tingling or burning . Do not kiss your baby or let others kiss your baby if you or they have cold sores on the mouth or lips. The virus can also lead to complications such as infection of the lining of the brain and the brain itself ( meningoencephalitis) or infection of the eye (especially the conjunctiva and cornea). swollen lymph nodes. problems urinating. /*! By permission of the publisher. The first symptom is usually a rash of small, fluid-filled blisters. For localized disease (skin, mouth, or conjunctivae), treatment is acyclovir 20 mg/kg IV every 8 hours for 14 days. From Demmler G: Congenital and perinatal infections. 3. "mainEntityOfPage" : "https://flo.health/being-a-mom/your-baby/baby-health-and-safety/neonatal-herpes", ], Enter search terms to find related medical topics, multimedia and more. CDC estimated that there were 572,000 new genital herpes infections in the United States in a single year. "@id":"#website", Newborn babies have fragile immune systems that arent fully developed. blueish lumps in the skin and bruising, particularly around the eyes. Newborns who are born to women who have an active herpes infection should be tested for herpes simplex virus infection. These skin lesions remain infectious until they disappear. Problems urinating. Every piece of content at Flo Health adheres to the highest editorial standards for language, style, and medical accuracy. Skin vesicles are common with either type, occurring in about 70% overall. Cold sores in children and adults don't need to be treated. Sometimes the virus reactivates. ], o [teenager OR adolescent ], , MD, University of Rochester School of Medicine and Dentistry, ( See also Herpes Simplex Virus (HSV) Infections Herpes Simplex Virus (HSV) Infections Herpes simplex viruses (human herpesviruses types 1 and 2) commonly cause recurrent infection affecting the skin, mouth, lips, eyes, and genitals. HSV culture or polymerase chain reaction (PCR) testing, Sometimes immunofluorescent testing of lesions or electron microscopy. Edited by CM Wilfert. HSV is a highly contagious virus that can be transmitted from a mother to a newborn baby before, during, or after delivery. Diagnosis is by viral culture, polymerase chain reaction testing, immunofluorescence, or electron microscopy. Have children. Rapid diagnosis by viral culture or HSV PCR is essential. Infected newborns may have mild symptoms at first, such as low grade fever (100.4 degrees F., or more, rectally), poor feeding, or one or more small skin blisters. Get yourself familiar with the symptoms of HSV and neonatal herpes. While many do experience symptoms in this stage, some people may never experience any signs or . The trusted provider of medical information since 1899, Congenital and Perinatal Cytomegalovirus Infection (CMV), Neonatal Hepatitis B Virus (HBV) Infection, Neonatal Herpes Simplex Virus (HSV) Infection, Reviewed/Revised Jul 2022 | Modified Sep 2022, Neonatal herpes simplex virus infection is usually transmitted during delivery. Health & Safety in the Home, Workplace & Outdoors, Clinical Guidelines, Standards & Quality of Care, All Health Care Professionals & Patient Safety, James V. McDonald, M.D., M.P.H., Commissioner, The Latest on New York's Response to COVID-19, Multisystem Inflammatory Syndrome in Children (MIS-C), Health Care and Mental Hygiene Worker Bonus Program, Lyme Disease & Other Diseases Carried By Ticks, Maternal Mortality & Disparate Racial Outcomes, NY State of Health (Health Plan Marketplace), Help Increasing the Text Size in Your Web Browser. Philadelphia, Current Medicine, 1998. Itchy skin (usually around the vaginal or groin area) Frequent yeast infections. Also, fetal scalp monitors should not be used during labor on infants whose mothers have suspected active genital herpes. There are two types of herpes simplex virus. Philadelphia, Current Medicine, 1998. About 85% of babies with untreated widespread herpes infection die. As the condition progresses, people with HIV may develop a weakened immune system . Learn more about the Merck Manuals and our commitment to Global Medical Knowledge. In newborns, HSV infection can lead to death or chronic problems. ], "headline": "Neonatal Herpes: When a Baby Catches the Infection", Please confirm that you are a health care professional. "@type": "Person", "@type": "Organization", You may continue breastfeeding your baby during therapy. Appropriate treatment with antiviral medications decreases the death rate and significantly increases the likelihood of normal development. Because of their vulnerable immune system, preterm babies can also catch HSV easily. If you have herpes and plan to have children, discuss your illness with your healthcare provider. Genital herpes is a common sexually transmitted infection (STI). The virus never goes completely away and remains dormant (inactive) in various tissues for life. You might have these other symptoms too: burning when you pee if your urine touches the herpes sores In women, the most common locations for genital herpes infection are the external genitalia, vagina, cervix, buttocks, and anus. Use for phrases After delivery In the period from birth to the fourth week, a newborns chances of contracting a virus are still rather high. In neonates with isolated skin or mucosal disease, progressive or more serious forms of disease frequently follow within 7 to 10 days if left untreated. The best tactic might be to get yourself familiar with the disease and do necessary exams if you notice something unusual. Treatment is with high-dose parenteral, Manifestations of Neonatal Herpes Simplex Virus (HSV) Infection. HSV is a highly contagious virus that can be transmitted from a mother to a newborn baby before, during, or after delivery. Most babies born to mothers infected with the herpes simplex virus are completely healthy. The herpes simplex virus (HSV) can also cause a severe infection in a newborn baby. Blisters and cold sores are usually the most contagious when they burst. People (most often women) with genital herpes may have trouble urinating or have a burning feeling while urinating. Your baby may be hard to comfort, especially when they're being held. This very contagious viral infection read more (HSV) is transmitted during delivery through the mothers infected genital tract. "target":"https:\/\/flo.health\//search?q={search_term_string}", Mild symptoms may go unnoticed or be mistaken for other skin conditions like a pimple or ingrown hair. Use to remove results with certain terms However, women who have blisters on their genitals near the time of delivery should be tested for herpes simplex infection. small red bumps that turn into blisters around the genital . Signs of type 2 diabetes' complications may include: Slow-healing sores or cuts. Your baby refuses to eat. Mothers of neonates with HSV infection tend to have newly acquired genital infection, but many have not had symptoms at the time of delivery. Neither infected babies nor their mothers show neonatal herpes symptoms during the first stage of the disease. } Neonates with localized disease can be divided into 2 groups. Symptoms of herpes simplex virus infection usually start between the first and third weeks of life but rarely may not appear until the fourth week. } Encephalitis and disseminated disease have a high mortality rate, and neurologic sequelae are common among survivors. By permission of the publisher. This rare disease occurs as a result of the herpes simplex virus (HSV) activity. Transplacental transmission of virus and hospital-acquired spread from one neonate to another by hospital personnel or family may account for some cases. About 80 percent of newborns catch neonatal herpes at birth. Sore joints, muscles or throat. { The main symptom is a rash of blisters. 1 Nationwide, 11.9 % of persons aged 14 to 49 years have HSV-2 infection (12.1% when adjusted for age). [1] The most common infectious sites are oral mucosa (HSV-1) or genital mucosa (HSV-2). If you have herpes, you should also get checked for HIV and other STIs . People with herpes can still give birth to healthy babies. The neonatal herpes symptoms might be as follows: Your response time can be important. This is usually followed by painful, small blisters that pop and leave sores that ooze or bleed. You may want to combine your knowledge and intuition to take proper action so you can feel confident that you are doing your best to take care of your child. 1. It is treatable but not curable. A baby may look irritated without any special reason. The most common site of retrieval is skin vesicles. During this stage, some people may experience symptoms that are similar to the flu approximately 2-4 weeks after becoming HIV-positive. Early testing, within 10 to 33 days after exposure, is possible with a nucleic acid test , while antigen/antibody HIV tests are usually accurate 18 to 45 days after exposure. To prevent spreading the infection, infected women may have a cesarean delivery. It affects more than just the baby's skin and can cause . The Early Stage of HIV. Dizziness and fainting. The link you have selected will take you to a third-party website. The mouth lesions (herpetic gingivostomatitis). HSV type 2 causes more cases than HSV type 1. eye infections. "https://flo.health/being-a-mom/your-baby/baby-health-and-safety/neonatal-herpes" "name": "" Introduction. Depending on the type of infection, your baby may get a topical therapy if the disease affects their eyes. } About 70 percent of all adults in the U.S. are infected with HSV-1 and may shed virus in their saliva at any time during their lifetime, even if they don't have symptoms like sores in the mouth or cold sores. In some newborns, the infection affects only certain areas (localized). "@type": "Person", { Sometimes, only the brain and nervous system are affected. The virus gets through the placenta, or infection spreads via the cervix. To learn what we do to deliver the best health and lifestyle insights to you, check out our content review principles. The other group has only skin, eye, and mouth involvement and no evidence of CNS or organ disease. } This happens most often when the mother is newly infected. Give parenteral acyclovir for both localized and disseminated disease. Acyclovir should be started immediately and presumptively in suspected cases while awaiting confirmatory diagnostic tests. A C-section delivery is recommended if a mother has an HSV-2 outbreak near the time of birth. Most people with genital herpes have no symptoms or have very mild symptoms. Headache. 2 However, the prevalence of genital herpes infection is higher than that . Use OR to account for alternate terms Neonatal herpes may be localized to the skin, eyes, or mouth, the central nervous system, or may be disseminated. Learn more about the Merck Manuals and our commitment to Global Medical Knowledge. Also, . Wash your hands before feeding your baby. "name": "Flo Health", "url" : [ Symptoms more often develop as the cancer progresses. { This medication does not cure the infection but helps keep it from spreading and limits the symptoms. Common severe infections include encephalitis read more in adults and Overview of Neonatal Infections Overview of Neonatal Infections Neonatal infection can be acquired In utero transplacentally or through ruptured membranes In the birth canal during delivery (intrapartum) From external sources after birth (postpartum) Common read more .). Even infected mothers who do not have any symptoms of herpes can still transmit the infection. Edited by CM Wilfert. Here are signs that indicate that the rash is caused by HIV infection. Newborns with HSV require hospitalization for intravenous antiviral medication for 21 days. The trusted provider of medical information since 1899, Cytomegalovirus (CMV) Infection in Newborns, Hepatitis B Virus (HBV) Infection in Newborns, Herpes Simplex Virus (HSV) Infection in Newborns. Most likely, youll get acyclovir, an antiviral medicine that has demonstrated the best results in suppressing HSV. Cesarean delivery for women known to have a high risk of transmission (eg, active genital lesions present at term) has been shown to decrease transmission and is recommended even if the membranes have ruptured. "@type":"WebSite", { If there are early symptoms of stomach cancer, they may include indigestion, stomach discomfort, and nausea. Wash hands thoroughly with soap and water before touching the newborn. Herpes simplex virus (HSV) is common and is most often transmitted in childhood through direct physical contact. .swiper-pagination{position:absolute;text-align:center;transition:opacity .3s;transform:translateZ(0);z-index:10}.swiper-pagination.swiper-pagination-hidden{opacity:0}.swiper-pagination-disabled>.swiper-pagination,.swiper-pagination.swiper-pagination-disabled{display:none!important}.swiper-horizontal>.swiper-pagination-bullets,.swiper-pagination-bullets.swiper-pagination-horizontal,.swiper-pagination-custom,.swiper-pagination-fraction{bottom:10px;left:0;width:100%}.swiper-pagination-bullets-dynamic{overflow:hidden;font-size:0}.swiper-pagination-bullets-dynamic .swiper-pagination-bullet{transform:scale(.33);position:relative}.swiper-pagination-bullets-dynamic .swiper-pagination-bullet-active,.swiper-pagination-bullets-dynamic .swiper-pagination-bullet-active-main{transform:scale(1)}.swiper-pagination-bullets-dynamic .swiper-pagination-bullet-active-prev{transform:scale(.66)}.swiper-pagination-bullets-dynamic .swiper-pagination-bullet-active-prev-prev{transform:scale(.33)}.swiper-pagination-bullets-dynamic .swiper-pagination-bullet-active-next{transform:scale(.66)}.swiper-pagination-bullets-dynamic .swiper-pagination-bullet-active-next-next{transform:scale(.33)}.swiper-pagination-bullet{width:var(--swiper-pagination-bullet-width,var(--swiper-pagination-bullet-size,8px));height:var(--swiper-pagination-bullet-height,var(--swiper-pagination-bullet-size,8px));display:inline-block;border-radius:50%;background:var(--swiper-pagination-bullet-inactive-color,#000);opacity:var(--swiper-pagination-bullet-inactive-opacity,.2)}button.swiper-pagination-bullet{border:none;margin:0;padding:0;box-shadow:none;-webkit-appearance:none;appearance:none}.swiper-pagination-clickable .swiper-pagination-bullet{cursor:pointer}.swiper-pagination-bullet:only-child{display:none!important}.swiper-pagination-bullet-active{opacity:var(--swiper-pagination-bullet-opacity,1);background:var(--swiper-pagination-color,var(--swiper-theme-color))}.swiper-pagination-vertical.swiper-pagination-bullets,.swiper-vertical>.swiper-pagination-bullets{right:10px;top:50%;transform:translate3d(0,-50%,0)}.swiper-pagination-vertical.swiper-pagination-bullets .swiper-pagination-bullet,.swiper-vertical>.swiper-pagination-bullets .swiper-pagination-bullet{margin:var(--swiper-pagination-bullet-vertical-gap,6px) 0;display:block}.swiper-pagination-vertical.swiper-pagination-bullets.swiper-pagination-bullets-dynamic,.swiper-vertical>.swiper-pagination-bullets.swiper-pagination-bullets-dynamic{top:50%;transform:translateY(-50%);width:8px}.swiper-pagination-vertical.swiper-pagination-bullets.swiper-pagination-bullets-dynamic .swiper-pagination-bullet,.swiper-vertical>.swiper-pagination-bullets.swiper-pagination-bullets-dynamic .swiper-pagination-bullet{display:inline-block;transition:transform .2s,top .2s}.swiper-horizontal>.swiper-pagination-bullets .swiper-pagination-bullet,.swiper-pagination-horizontal.swiper-pagination-bullets .swiper-pagination-bullet{margin:0 var(--swiper-pagination-bullet-horizontal-gap,4px)}.swiper-horizontal>.swiper-pagination-bullets.swiper-pagination-bullets-dynamic,.swiper-pagination-horizontal.swiper-pagination-bullets.swiper-pagination-bullets-dynamic{left:50%;transform:translateX(-50%);white-space:nowrap}.swiper-horizontal>.swiper-pagination-bullets.swiper-pagination-bullets-dynamic .swiper-pagination-bullet,.swiper-pagination-horizontal.swiper-pagination-bullets.swiper-pagination-bullets-dynamic .swiper-pagination-bullet{transition:transform .2s,left .2s}.swiper-horizontal.swiper-rtl>.swiper-pagination-bullets-dynamic .swiper-pagination-bullet{transition:transform .2s,right .2s}.swiper-pagination-progressbar{background:rgba(0,0,0,.25);position:absolute}.swiper-pagination-progressbar .swiper-pagination-progressbar-fill{background:var(--swiper-pagination-color,var(--swiper-theme-color));position:absolute;left:0;top:0;width:100%;height:100%;transform:scale(0);transform-origin:left top}.swiper-rtl .swiper-pagination-progressbar .swiper-pagination-progressbar-fill{transform-origin:right top}.swiper-horizontal>.swiper-pagination-progressbar,.swiper-pagination-progressbar.swiper-pagination-horizontal,.swiper-pagination-progressbar.swiper-pagination-vertical.swiper-pagination-progressbar-opposite,.swiper-vertical>.swiper-pagination-progressbar.swiper-pagination-progressbar-opposite{width:100%;height:4px;left:0;top:0}.swiper-horizontal>.swiper-pagination-progressbar.swiper-pagination-progressbar-opposite,.swiper-pagination-progressbar.swiper-pagination-horizontal.swiper-pagination-progressbar-opposite,.swiper-pagination-progressbar.swiper-pagination-vertical,.swiper-vertical>.swiper-pagination-progressbar{width:4px;height:100%;left:0;top:0}.swiper-pagination-lock{display:none} If you are pregnant and have a history or signs and symptoms of genital HSV-2 infection, tell your doctor as soon as possible. 2. Antibody tests, though most often used, can take up to 90 days after exposure to show accurate results. sore throat. Early symptoms tend to happen around 2 to 12 days after infection. "url": "https://flo.health/images/img/flo-fb-l-1.png" Neonates with disseminated disease and visceral organ involvement have hepatitis, pneumonitis, disseminated intravascular coagulation, or a combination, with or without encephalitis or skin disease. Genital herpes infection is common in the United States. muscle aches. "@context":"http:\/\/schema.org", Genital Herpes Symptoms in Women. Having a cesarean section may be recommended over vaginal delivery. The blisters break and turn into sores. Symptoms include genital ulcers or sores. Infection with herpes simplex virus is very common in adults. This can happen two to 12 days after HSV exposure. Pediatrics 131(2):e635-646, 2013. doi: 10.1542/peds.2012-3216. ", Recent weight gain. Because of this, infants are more prone to various types of infections, and HSV may easily infect a baby. All rights reserved. "logo": { The National Institutes of Health explains that this is the most common form of transmission 2. The virus can be transmitted sexually and cause infection of the genital tract. (09 November 2019), The best breastfeeding positions for moms and babies. These medications may prevent recurrences at the time of delivery and decrease the need for cesarean delivery. "url": "https://flo.health/about-us/irina-ilyich" Newborns can become very sick quickly with high fever and seizures, and may become lethargic (floppy). Manifestations generally occur between the 1st and 3rd weeks of life but rarely may not appear until as late as the 4th week. Asymptomatic neonates born to women with active genital lesions at the time of delivery should be evaluated and tested for HSV infection. @font-face{font-family:swiper-icons;src:url("data:application/font-woff;charset=utf-8;base64, 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");font-weight:400;font-style:normal}:root{--swiper-theme-color:#007aff}.swiper{margin-left:auto;margin-right:auto;position:relative;overflow:hidden;list-style:none;padding:0;z-index:1}.swiper-vertical>.swiper-wrapper{flex-direction:column}.swiper-wrapper{position:relative;width:100%;height:100%;z-index:1;display:flex;transition-property:transform;box-sizing:content-box}.swiper-android .swiper-slide,.swiper-wrapper{transform:translateZ(0)}.swiper-pointer-events{touch-action:pan-y}.swiper-pointer-events.swiper-vertical{touch-action:pan-x}.swiper-slide{flex-shrink:0;width:100%;height:100%;position:relative;transition-property:transform}.swiper-slide-invisible-blank{visibility:hidden}.swiper-autoheight,.swiper-autoheight .swiper-slide{height:auto}.swiper-autoheight .swiper-wrapper{align-items:flex-start;transition-property:transform,height}.swiper-backface-hidden .swiper-slide{transform:translateZ(0);-webkit-backface-visibility:hidden;backface-visibility:hidden}.swiper-3d,.swiper-3d.swiper-css-mode .swiper-wrapper{perspective:1200px}.swiper-3d .swiper-cube-shadow,.swiper-3d .swiper-slide,.swiper-3d .swiper-slide-shadow,.swiper-3d .swiper-slide-shadow-bottom,.swiper-3d .swiper-slide-shadow-left,.swiper-3d .swiper-slide-shadow-right,.swiper-3d .swiper-slide-shadow-top,.swiper-3d .swiper-wrapper{transform-style:preserve-3d}.swiper-3d .swiper-slide-shadow,.swiper-3d .swiper-slide-shadow-bottom,.swiper-3d .swiper-slide-shadow-left,.swiper-3d .swiper-slide-shadow-right,.swiper-3d .swiper-slide-shadow-top{position:absolute;left:0;top:0;width:100%;height:100%;pointer-events:none;z-index:10}.swiper-3d .swiper-slide-shadow{background:rgba(0,0,0,.15)}.swiper-3d .swiper-slide-shadow-left{background-image:linear-gradient(270deg,rgba(0,0,0,.5),transparent)}.swiper-3d .swiper-slide-shadow-right{background-image:linear-gradient(90deg,rgba(0,0,0,.5),transparent)}.swiper-3d .swiper-slide-shadow-top{background-image:linear-gradient(0deg,rgba(0,0,0,.5),transparent)}.swiper-3d .swiper-slide-shadow-bottom{background-image:linear-gradient(180deg,rgba(0,0,0,.5),transparent)}.swiper-css-mode>.swiper-wrapper{overflow:auto;scrollbar-width:none;-ms-overflow-style:none}.swiper-css-mode>.swiper-wrapper::-webkit-scrollbar{display:none}.swiper-css-mode>.swiper-wrapper>.swiper-slide{scroll-snap-align:start start}.swiper-horizontal.swiper-css-mode>.swiper-wrapper{scroll-snap-type:x mandatory}.swiper-vertical.swiper-css-mode>.swiper-wrapper{scroll-snap-type:y mandatory}.swiper-centered>.swiper-wrapper:before{content:"";flex-shrink:0;order:9999}.swiper-centered.swiper-horizontal>.swiper-wrapper>.swiper-slide:first-child{margin-inline-start:var(--swiper-centered-offset-before)}.swiper-centered.swiper-horizontal>.swiper-wrapper:before{height:100%;min-height:1px;width:var(--swiper-centered-offset-after)}.swiper-centered.swiper-vertical>.swiper-wrapper>.swiper-slide:first-child{margin-block-start:var(--swiper-centered-offset-before)}.swiper-centered.swiper-vertical>.swiper-wrapper:before{width:100%;min-width:1px;height:var(--swiper-centered-offset-after)}.swiper-centered>.swiper-wrapper>.swiper-slide{scroll-snap-align:center center;scroll-snap-stop:always}
Couples Massage Lihue, Articles E