Extensive Epidermal Skin Loss Secondary to HSV Type One: Neonatal Management Challenges

We describe a rare case of a preterm neonate presenting at birth with extensive epidermal skin loss of over 90% due to disseminated herpes simplex virus type one infection. Differential diagnosis included aplasia cutis and epidermolysis bullosa. Serum PCR and mouth swabs confirmed HSV type one, and...

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Main Authors: Rebecca J Calthorpe, Emma Spencer, Jane C Ravenscroft, Ting S Tang, Anna E Martinez, Anjum Deorukhkar
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2019/2459219
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author Rebecca J Calthorpe
Emma Spencer
Jane C Ravenscroft
Ting S Tang
Anna E Martinez
Anjum Deorukhkar
author_facet Rebecca J Calthorpe
Emma Spencer
Jane C Ravenscroft
Ting S Tang
Anna E Martinez
Anjum Deorukhkar
author_sort Rebecca J Calthorpe
collection DOAJ
description We describe a rare case of a preterm neonate presenting at birth with extensive epidermal skin loss of over 90% due to disseminated herpes simplex virus type one infection. Differential diagnosis included aplasia cutis and epidermolysis bullosa. Serum PCR and mouth swabs confirmed HSV type one, and the patient required three weeks of treatment with intravenous aciclovir, followed by oral aciclovir. We describe the management challenges and give practical solutions applicable to the care of a neonate presenting with widespread skin loss due to any aetiology.
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institution Kabale University
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2090-6811
language English
publishDate 2019-01-01
publisher Wiley
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series Case Reports in Pediatrics
spelling doaj-art-a9ece88f68064038acb137952f6d682a2025-02-03T07:23:50ZengWileyCase Reports in Pediatrics2090-68032090-68112019-01-01201910.1155/2019/24592192459219Extensive Epidermal Skin Loss Secondary to HSV Type One: Neonatal Management ChallengesRebecca J Calthorpe0Emma Spencer1Jane C Ravenscroft2Ting S Tang3Anna E Martinez4Anjum Deorukhkar5Department of Neonatology, Nottingham University Hospitals NHS Trust, Nottingham, UKDepartment of Neonatology, Nottingham University Hospitals NHS Trust, Nottingham, UKDepartment of Dermatology, Nottingham University Hospitals NHS Trust, Nottingham, UKDepartment of Dermatology, Nottingham University Hospitals NHS Trust, Nottingham, UKDepartment of Dermatology, Great Ormond Street Hospitals, London, UKDepartment of Neonatology, Nottingham University Hospitals NHS Trust, Nottingham, UKWe describe a rare case of a preterm neonate presenting at birth with extensive epidermal skin loss of over 90% due to disseminated herpes simplex virus type one infection. Differential diagnosis included aplasia cutis and epidermolysis bullosa. Serum PCR and mouth swabs confirmed HSV type one, and the patient required three weeks of treatment with intravenous aciclovir, followed by oral aciclovir. We describe the management challenges and give practical solutions applicable to the care of a neonate presenting with widespread skin loss due to any aetiology.http://dx.doi.org/10.1155/2019/2459219
spellingShingle Rebecca J Calthorpe
Emma Spencer
Jane C Ravenscroft
Ting S Tang
Anna E Martinez
Anjum Deorukhkar
Extensive Epidermal Skin Loss Secondary to HSV Type One: Neonatal Management Challenges
Case Reports in Pediatrics
title Extensive Epidermal Skin Loss Secondary to HSV Type One: Neonatal Management Challenges
title_full Extensive Epidermal Skin Loss Secondary to HSV Type One: Neonatal Management Challenges
title_fullStr Extensive Epidermal Skin Loss Secondary to HSV Type One: Neonatal Management Challenges
title_full_unstemmed Extensive Epidermal Skin Loss Secondary to HSV Type One: Neonatal Management Challenges
title_short Extensive Epidermal Skin Loss Secondary to HSV Type One: Neonatal Management Challenges
title_sort extensive epidermal skin loss secondary to hsv type one neonatal management challenges
url http://dx.doi.org/10.1155/2019/2459219
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