Utility of Surface and Blood Polymerase Chain Reaction Assays in Identifying Infants With Neonatal Herpes Simplex Virus Infection

Pediatr Infect Dis J. 2019 Nov;38(11):1138-1140. doi: 10.1097/INF.0000000000002451.

Abstract

Of 27 neonates with herpes simplex virus, DNAemia was observed in 100% with disseminated disease, 57% with central nervous system disease and 28% with skin, eye, mouth disease, suggesting DNAemia occurs frequently in these infants. Herpes simplex virus culture and polymerase chain reaction were performed on surface specimens from 13/27 infants, and ~50% tested positive only by polymerase chain reaction, suggesting the superiority of this technique.

MeSH terms

  • Anal Canal / virology
  • Conjunctiva / virology
  • DNA, Viral / blood*
  • DNA, Viral / cerebrospinal fluid
  • Electronic Health Records
  • Female
  • Herpes Simplex / blood*
  • Herpes Simplex / cerebrospinal fluid
  • Herpes Simplex / diagnosis*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Mouth / virology
  • Nasopharynx / virology
  • Polymerase Chain Reaction*
  • Pregnancy Complications, Infectious / blood*
  • Pregnancy Complications, Infectious / cerebrospinal fluid
  • Pregnancy Complications, Infectious / diagnosis*
  • Retrospective Studies
  • Simplexvirus / isolation & purification
  • Tertiary Care Centers
  • Viral Load
  • Virus Cultivation

Substances

  • DNA, Viral

Supplementary concepts

  • Neonatal herpes