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Maternal Herpes simplex virus type 2 encephalitis following Cesarean section.

C Godet1, A Beby-Defaux, G Agius

  • 1Intensive Care Unit, Hôpital Jean Bernard, BP 377, 86021 Poitiers Cedex, France.

The Journal of Infection
|July 16, 2003
PubMed
Summary

Herpes simplex virus type 2 (HSV-2) encephalitis is rare in pregnancy. This case highlights a rare instance of maternal HSV-2 encephalitis post-Cesarean section, emphasizing unusual presentations of this infection.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Obstetrics & Gynecology

Background:

  • Herpes simplex virus type 2 (HSV-2) encephalitis is uncommon, particularly during pregnancy.
  • Unlike HSV-1 meningitis, HSV-2 meningitis in immunocompetent individuals typically presents mildly without encephalitis.

Observation:

  • A rare case of maternal HSV-2 encephalitis occurred after a Cesarean section.
  • The patient presented without symptomatic genital lesions.
  • The infant remained uninfected.

Findings:

  • This case underscores the potential for severe HSV-2 neurological complications in pregnant women.
  • The absence of genital lesions complicates the diagnosis and understanding of transmission routes.

Implications:

Related Experiment Videos

  • Further investigation into the routes of meningeal infection (neuronal vs. hematogenous) in postpartum HSV-2 encephalitis is warranted.
  • Highlights the need for vigilance in diagnosing HSV-2 encephalitis in pregnant and postpartum patients, irrespective of visible genital lesions.