[Neonatal ophthalmia caused by Herpes Simplex Virus type I]

Andes Pediatr. 2022 Oct;93(5):749-754. doi: 10.32641/andespediatr.v93i5.4115.
[Article in Spanish]

Abstract

There are different etiologies of neonatal ophthalmia such as viral ones. Among them, the Herpes simplex virus, both type I and II, is particularly relevant due to its potential severity. It is a rare, in frequent entity, but with a high rate of morbidity and mortality without appropriate diagnosis and management.

Objective: To describe a case of neonatal ophthalmia caused by Herpes Virus type I, its clinical characteristics, and correct diagnosis.

Clinical case: 8-days old newborn, with no notable history, presenting edema and erythema of eyelids, accompanied by bilateral ocular discharge. Her pes Virus type I infection was diagnosed by PCR, without evidence of disseminated disease or central nervous system involvement. He received full treatment with intravenous Acyclovir with complete clinical improvement.

Conclusions: Herpes Simplex Virus should always be considered as a diffe rential diagnosis in all neonatal ophthalmia. Early and timely diagnosis and treatment are of vital importance.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Acyclovir / therapeutic use
  • Endophthalmitis* / drug therapy
  • Herpes Simplex* / complications
  • Herpes Simplex* / diagnosis
  • Herpes Simplex* / drug therapy
  • Humans
  • Infant, Newborn
  • Male
  • Simplexvirus

Substances

  • Acyclovir