A case of neonatal herpes that occurred after vaginal delivery in the absence of genital lesions is presented. The mother had a history of drug addiction and genital herpes. Asymptomatic shedding of herpes simplex virus type 2 from the cervix was noted in the second trimester of pregnancy. Despite being followed with a protocol of close surveillance and serial culturing of the genital tract, the patient gave birth to twins, one of whom developed herpes simplex virus type 2 in the postpartum period. This report presents discussion of this case and herpes surveillance protocols.
William A. Growdon, Lorenzo Apodaca, Jeffrey Cragun, Ellena M. Peterson, Luis M. de la Maza. Neonatal Herpes Simplex Virus Infection Occurring in Second Twin of an Asymptomatic MotherFailure of a Modern Protocol. JAMA. 1987;257(4):508–511. doi:10.1001/jama.1987.03390040124030