[How I treat… a neonatal Herpes simplex virus infection]

M L Godet1, J Pêtre1, V Bernier2

  • 1Département de Pédiatrie, CHC Espérance, Montegnée, Belgique.

Insights

Neonatal herpes simplex virus (HSV) infection, though rare, poses significant risks. Early diagnosis and a six-month course of oral aciclovir treatment are crucial for improving infant outcomes and preventing severe sequelae.

Area of Science:

  • Neonatal Medicine
  • Virology
  • Infectious Diseases

Background:

  • Neonatal herpes simplex virus (HSV) infection is a rare but serious condition with a high risk of mortality and long-term neurological complications.
  • Accurate diagnosis relies on specific clinical presentations and biological testing.

Purpose of the Study:

  • To review the literature on neonatal HSV infection management.
  • To highlight the importance of early diagnosis and appropriate treatment strategies.
  • To emphasize the benefits of prolonged antiviral therapy for improved prognosis.

Main Methods:

  • Literature review based on a clinical case of neonatal HSV infection.
  • Analysis of diagnostic criteria and treatment protocols for neonatal HSV.
  • Evaluation of the efficacy of aciclovir in treating neonatal HSV.

Main Results:

  • Aciclovir is the primary treatment for neonatal HSV infection.
  • Treatment duration varies based on disease severity.
  • A six-month suppressiv e-dose oral aciclovir regimen is recommended for better outcomes.

Conclusions:

  • Prompt diagnosis and timely initiation of antiviral therapy are critical for managing neonatal HSV.
  • Extended suppressiv e aciclovir treatment can significantly improve the long-term prognosis for affected infants.
  • Optimizing management strategies can reduce the severe sequelae associated with neonatal herpes simplex virus infection.