Fatal Neonatal Herpes Simplex Infection Likely from Unrecognized Breast Lesions

Field, Scott S.

doi:10.1177/0890334415596987

Cited by 7 publications

(3 citation statements)

References 15 publications

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“… 9 12 Case reports documenting extragenital HSV spread from lactating mother to child are less common and can result in child death if not properly diagnosed. 5 Due to most cases of neonatal HSV being transmitted from mother to neonate, we consider this the most likely aetiology in our case; however, the true source is unclear, and it is possible another care provider or third party such as hospital staff could have been the source.…”

Section: Discussionmentioning

confidence: 89%

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Diagnosis and management of a herpes nipple infection that resulted in neonatal HSV encephalitis

Stokes,

Zahler-Miller,

Dunn

2024

BMJ Case Rep

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We present a case of a primigravida in her 30s who had a caesarean delivery of dichorionic diamniotic twins at 33 weeks of gestation. Her postpartum course was complicated by a herpes simplex virus (HSV) infection of her nipple, found after her neonates were diagnosed with HSV encephalitis. She was evaluated at her 3-week postpartum visit and reported that her neonates were concurrently admitted to the neonatal intensive care unit with disseminated neonatal HSV-1. The patient and her partner were in a monogamous relationship with no known history of HSV. Physical examination demonstrated a vertical fissure on the face of her right nipple and a small cluster of vesicles on her left hand. PCR swabs of the lesions were positive for HSV-1 at both locations. The patient was started on oral valacyclovir 1000 mg two times per day, topical acyclovir ointment applied 4–6 times per day and mupirocin ointment applied 3 times per day to her breast with resolution of her breast lesions. She was able to continue expressing her breastmilk with the help of a pump and then resumed breastfeeding once her infection was cleared. Her infants recovered after prolonged parenteral antiviral therapy with age-appropriate development at follow-up.

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Section: Discussionmentioning

confidence: 89%

“…Routes of infection in lactating parents can be transmitted from neonate to mother or more commonly from mother to neonate. 59 12 …”

Section: Introductionmentioning

confidence: 99%

Diagnosis and management of a herpes nipple infection that resulted in neonatal HSV encephalitis

Stokes,

Zahler-Miller,

Dunn

2024

BMJ Case Rep

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“…We then have the body of the Journal, including a Case Report, Original Research, and a special feature of JHL , Student Research. This case report is important, because although it is not common, fatal neonatal herpes from unrecognized breast lesions is devastating when it occurs (Field 7 ). It is unfortunate that this was only recognized retrospectively and we do not have photographs to help in driving the lessons from this case home.…”

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confidence: 99%

New Beginnings

Marinelli

Gill

2016

J Hum Lact

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That could be a tall order to fill; nonetheless, separation of "church and state" (ILCA and JHL) has been well-maintained irrespective of leadership at either one. This past year and a half have seen many significant changes occurring within ILCA, which will continue to roll out through 2016. The Strategic Map was completely rewritten; the organizational values, vision, and mission were reassessed and reconfigured; and our Partners Program was introduced, impacting the way ILCA engages with the global breastfeeding community in a positive and forward thinking manner. Committees and other volunteer opportunities have been redefined and clarified, and Board Director responsibilities were realigned. The website has been completely upgraded and redesigned to a much more functional and user-friendly platform, allowing for, among other things, all important member communication. The ILCA logo has been redesigned, with colors updated and revitalized. In many ways, we may not recognize ourselves. But this has "changed (us) for good" to borrow a lyric from the Broadway hit musical Wicked.With this February 2016 issue of JHL, some of those changes are quite evident. Our cover looks different. We see the new ILCA logo. With all of our changes, we recognized that it was time for a new look that better reflects our global nature and the many powerful pieces that make up our organization. Our new logo is the result of international input by a diverse group of our members who examined our values and direction. The logo represents ILCA's expanding impact in the global breastfeeding community. It also expresses the collaboration between many different communities, work settings, backgrounds, and cultures that are needed to bring about great change. In this symbol we embrace the feel of a "swirl" in which parts of the whole mix and create something greater. Think of IBCLCs swirling simultaneously their clinical competency, counseling, scientific research, community awareness, and more in their daily roles, all of which also occurs within the pages of JHL.Our representative colors have changed as well, as evidenced by the logo, our website, and the cover of this issue. The new color scheme represents an updated version of our previous ILCA identity. We intentionally retained shades of yellow and purple to maintain continuity with our past, while shifting the tones and adding accent colors of blue to teal for a contemporary look and a more international appeal.Many beautiful photographs were submitted for the 2016 cover photo contest, making the choice of only 4 very difficult. The photos chosen for 2016 make their debut on the cover of this issue. They portray the ILCA Core Values of Equity, Diversity, and Knowledge and the global lens with which we view our work, our organization, and our journal. They come from 3 continents, multiple socioeconomic levels, resource-abundant and resource-poor settings, with well and sick babies. All are united by the love of mother and child; the need and importance of fathers, families, and suppo...

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Viral Genetic Diversity and Its Potential Contributions to the Development and Progression of Neonatal Herpes Simplex Virus (HSV) Disease

Akhtar

Szpara

2019

Curr Clin Micro Rpt

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Fatal Neonatal Herpes Simplex Infection Likely from Unrecognized Breast Lesions

Cited by 7 publications

References 15 publications

Diagnosis and management of a herpes nipple infection that resulted in neonatal HSV encephalitis

Diagnosis and management of a herpes nipple infection that resulted in neonatal HSV encephalitis

New Beginnings

Viral Genetic Diversity and Its Potential Contributions to the Development and Progression of Neonatal Herpes Simplex Virus (HSV) Disease

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