Primary infection with herpes simplex virus (HSV) occurs often in childhood. The most common manifestation is gingivostomatitis, while keratoconjunctivitis and skin disease are uncommon.1-3 Few reports of culturally confirmed, localized, posttraumatic herpes simplex infection during childhood, apparently unrelated to autoinoculation, exist in the literature.3-5 We report a traumatic HSV skin infection occurring three days after needle aspiration of a presumed bacterial cervical adenitis.
Report of a Case.—An 18-month-old, previously healthy boy developed diffuse swelling of the right side of the neck one day before admission. The past medical history included a unilateral otitis media two months prior to admission. He had no history of herpetic infection nor did any members of his immediate family. Physical examination revealed a listless, febrile (39.2 °C) toddler with a firm, tender mass obscuring the angle of the mandible and extending over the sternocleidomastoid muscle. The overlying skin was hot and erythematous.
VIKELIDOU I, COX F. Herpes Simplex Infection After Needle Aspiration of a Lymph Node. Am J Dis Child. 1980;134(1):88–89. doi:10.1001/archpedi.1980.02130130070022