Congenital herpes simplex is a rare, serious condition caused by herpes simplex virus (HSV) transmission during pregnancy or childbirth, potentially leading to severe neurological and developmental complications in newborns.

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Herpes Simplex Virus Type 2 (HSV-2) Infection, Congenital FAQ


What causes congenital herpes simplex?

It's caused by herpes simplex virus (HSV) transmission from mother to baby during pregnancy, labor, or delivery.

Is congenital herpes simplex preventable?

Yes, through maternal HSV screening, antiviral prophylaxis, and cesarean delivery if active lesions are present.

What are common symptoms in newborns?

Fever, lethargy, irritability, skin lesions, feeding difficulties, and seizures.

How is congenital herpes diagnosed?

Through viral culture, PCR testing, or serological tests in newborns.

What is the primary treatment?

Intravenous aciclovir is typically administered to affected newborns.

Can congenital herpes be cured?

Antiviral treatment can manage symptoms and reduce complications, but the virus remains dormant.

What are potential long-term complications?

Developmental delays, vision or hearing loss, and recurrent HSV infections.

Should pregnant women with HSV take medication?

Yes, suppressive antiviral therapy may be recommended to reduce transmission risk.

Is a cesarean delivery always necessary?

It may be recommended if active genital lesions are present at the time of delivery.

Can breastfeed if the mother has HSV?

Generally yes, unless the breast is the site of an active HSV lesion.

How common is congenital herpes in Malaysia?

Exact prevalence data is limited, but it's considered rare with proactive maternal care.

Can newborns have asymptomatic HSV infection?

Yes, some babies may not show immediate symptoms, but still require monitoring.

What follow-up care is essential?

Regular pediatric check-ups, neurological assessments, and vision/hearing tests.

Are there support resources for families?

Yes, medical counseling and support groups can help manage the condition's challenges.

Is there a vaccine for HSV?

Currently, no vaccine is available for herpes simplex virus prevention.

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