Vacuum extraction and herpes simplex virus infection

Sadan, Oscar; Dishi, Michal; Somekh, Eli; Kohelet, David; Lurie, Samuel; Glezerman, Marek

doi:10.1016/j.ijgo.2005.02.020

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“…The age at diagnosis of the vesicular eruption of VAD ranged from 0.9 to 41.7 hours . In a follow‐up study at the same institution, the authors postulated that HSV might be colonizing the lesions rather than a pathologic process . In both studies, no patients demonstrated a positive colony‐stimulating factor PCR.…”

Section: Discussionmentioning

confidence: 99%

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Vesicular Eruption of Vacuum‐Assisted Delivery

Chadwick

Heymann

2012

Pediatric Dermatology

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Vacuum-assisted delivery has been associated with several complications, including rare vesicular eruptions. Herpes simplex virus has been cultured in a substantial portion of these cases. A case of vesicular eruption from vacuum-assisted delivery is presented in a 1-day-old neonate. The patient was placed on empiric acyclovir until viral cultures and polymerase chain reaction for herpes simplex virus were found to be negative. The lesions resolved without sequelae. The vesicular eruption of vacuum-assisted delivery is probably secondary to mechanical trauma. Clinicians should be aware of the possible risk of herpes simplex virus infection, instituting antiviral therapy until this is excluded.

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Section: Discussionmentioning

confidence: 99%

“…Complications include chignon (artificial caput succedaneum), retinal hemorrhage, neonatal jaundice, cephalohematoma, subgaleal hemorrhage, abrasions, and lacerations . Vesiculation has been reported secondary to VAD with a higher risk of herpes simplex virus (HSV) .…”

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confidence: 99%