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Treatment of recurrent eczema herpeticum in pregnancy with acyclovir
1Division of Maternal-Fetal Medicine Abington Memorial Hospital, Abington, PA 19001, USA.
Background:
Eczema herpeticum is an uncommon manifestation of an infection with herpes simplex virus (HSV). The disease is primarily seen in patients with histories of atopic eczema. Eczema herpeticum may be a life-threatening illness, but the mortality is felt to be <10% with modern antiviral and antibacterial agents. The use of acyclovir for other viral infections secondary to herpesvirus in pregnancy has been well documented. The authors now present a case report of eczema herpeticum treated with acyclovir during pregnancy.
Case:
A patient with a history of eczema herpeticum presented in pregnancy with a recurrence. She was successfully treated with intravenous (IV) acyclovir with good maternal and fetal outcome.
Conclusion:
Acyclovir may be utilized in pregnancy for several manifestations of HSV including eczema herpeticum.
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