Fatal Neonatal Herpes Simplex Infection Likely from Unrecognized Breast Lesions.
Type 1 herpes simplex virus (HSV-1) is very prevalent yet in rare circumstances can lead to fatal neonatal disease. Genital acquisition of type 2 HSV is the usual mode for neonatal herpes, but HSV-1 transmission by genital or extragenital means may result in greater mortality rates. A very rare scenario is presented in which the mode of transmission was likely through breast lesions. The lesions were seen by nurses as well as the lactation consultant and obstetrician in the hospital after delivery of the affected baby but not recognized as possibly being caused by herpes. The baby died 9 days after birth with hepatic failure and disseminated intravascular coagulation. Peripartum health care workers need to be aware of potential nongenital (including from the breast[s]) neonatal herpes acquisition, which can be lethal.
['Field|Scott S|SS|']
D000328:Adult D001940:Breast D001942:Breast Feeding D017809:Fatal Outcome D005260:Female D006561:Herpes Simplex D018259:Herpesvirus 1, Human D006801:Humans D007231:Infant, Newborn D018445:Infectious Disease Transmission, Vertical D011251:Pregnancy Complications, Infectious
neonatal herpes simplex type 1 herpes breastfeeding