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Acute retinal necrosis caused by herpes simplex virus type 2 in children: reactivation of an undiagnosed latent neonatal herpes infection
Journal article   Peer reviewed

Acute retinal necrosis caused by herpes simplex virus type 2 in children: reactivation of an undiagnosed latent neonatal herpes infection

Charles Grose
Seminars in pediatric neurology, Vol.19(3), pp.115-118
09/2012
DOI: 10.1016/j.spen.2012.02.005
PMCID: PMC3419358
PMID: 22889540
url
https://www.ncbi.nlm.nih.gov/pmc/articles/3419358View
Open Access

Abstract

Herpes simplex virus type 2 (HSV-2) is known to cause acute retinal necrosis (ARN). The availability of HSV-2-specific polymerase chain reaction tests for diagnostic analysis has greatly increased our ability to discriminate ARN caused by HSV-2 from ARN caused by either herpes simplex virus type 1 or varicella zoster virus (VZV). Of great interest, HSV-2 appears to be the most common cause of viral ARN in children and adolescents. Although a few children with ARN are known to have had neonatally acquired herpes infection, most children lack a history of known herpes disease. Thus, the origin of the HSV-2 infection is a mystery. The hypothesis of this review is that HSV-2 ARN in children and adolescents may be the first sign of a previously undiagnosed and asymptomatic neonatal HSV-2 infection, which has reactivated several years later from latency in a cranial nerve and entered the retina. The review brings together 7 previously published ARN cases, plus one new case is added. Thus, this review also expands the spectrum of complications from neonatal HSV-2 infection.
Pregnancy Complications, Infectious - virology Herpes Simplex - diagnosis Antiviral Agents - therapeutic use Retinal Necrosis Syndrome, Acute - drug therapy Virus Latency Humans Child, Preschool Male Herpesvirus 3, Human - genetics Herpesvirus 2, Human - genetics Herpes Simplex - virology Adolescent Female Herpes Simplex - complications Herpesvirus 1, Human - genetics Herpesvirus 2, Human - physiology Retinal Necrosis Syndrome, Acute - virology Child Herpesvirus 2, Human - pathogenicity Virus Activation Retinal Necrosis Syndrome, Acute - diagnosis Pregnancy Complications, Infectious - diagnosis

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