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An Infant With Seborrhoeic Dermatitis and Eczema Herpeticum Complicated by a Generalized Infection

Primary herpes simplex virus 1 (HSV-1) infection in children (beyond the neonatal period) may be asymptomatic or manifest as herpetic gingivostomatitis accompanied by fever and other symptoms. However, severe, health- and life-threatening infection is observed in rare cases, especially in at-risk pa...

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Autores principales: Karpierz, Katarzyna, Kuchar, Ernest P
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8425079/
https://www.ncbi.nlm.nih.gov/pubmed/34522478
http://dx.doi.org/10.7759/cureus.16818
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author Karpierz, Katarzyna
Kuchar, Ernest P
author_facet Karpierz, Katarzyna
Kuchar, Ernest P
author_sort Karpierz, Katarzyna
collection PubMed
description Primary herpes simplex virus 1 (HSV-1) infection in children (beyond the neonatal period) may be asymptomatic or manifest as herpetic gingivostomatitis accompanied by fever and other symptoms. However, severe, health- and life-threatening infection is observed in rare cases, especially in at-risk patients. Children with atopic dermatitis may develop extensive eczema herpeticum (eruptio varicelliformis Kaposi). Herpes simplex eye infection, herpes simplex encephalitis, and disseminated (generalized) herpes infection also pose danger. We present a boy with exacerbated infantile seborrhoeic dermatitis (ISD) and eczema herpeticum complicated by streptococcal sepsis. HSV transmission should be limited if possible by avoiding direct contact with those who recently developed lesions. Communication with parents and explaining how to properly care for the skin in a child with skin diseases that disturb its barrier function protecting against external factors is particularly important. Also, parents should be informed that "red flag" symptoms in a child should be an indication for a pediatric consultation. In the event of infection, the duration of symptoms can be reduced by promptly initiated acyclovir therapy.
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spelling pubmed-84250792021-09-13 An Infant With Seborrhoeic Dermatitis and Eczema Herpeticum Complicated by a Generalized Infection Karpierz, Katarzyna Kuchar, Ernest P Cureus Dermatology Primary herpes simplex virus 1 (HSV-1) infection in children (beyond the neonatal period) may be asymptomatic or manifest as herpetic gingivostomatitis accompanied by fever and other symptoms. However, severe, health- and life-threatening infection is observed in rare cases, especially in at-risk patients. Children with atopic dermatitis may develop extensive eczema herpeticum (eruptio varicelliformis Kaposi). Herpes simplex eye infection, herpes simplex encephalitis, and disseminated (generalized) herpes infection also pose danger. We present a boy with exacerbated infantile seborrhoeic dermatitis (ISD) and eczema herpeticum complicated by streptococcal sepsis. HSV transmission should be limited if possible by avoiding direct contact with those who recently developed lesions. Communication with parents and explaining how to properly care for the skin in a child with skin diseases that disturb its barrier function protecting against external factors is particularly important. Also, parents should be informed that "red flag" symptoms in a child should be an indication for a pediatric consultation. In the event of infection, the duration of symptoms can be reduced by promptly initiated acyclovir therapy. Cureus 2021-08-01 /pmc/articles/PMC8425079/ /pubmed/34522478 http://dx.doi.org/10.7759/cureus.16818 Text en Copyright © 2021, Karpierz et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Dermatology
Karpierz, Katarzyna
Kuchar, Ernest P
An Infant With Seborrhoeic Dermatitis and Eczema Herpeticum Complicated by a Generalized Infection
title An Infant With Seborrhoeic Dermatitis and Eczema Herpeticum Complicated by a Generalized Infection
title_full An Infant With Seborrhoeic Dermatitis and Eczema Herpeticum Complicated by a Generalized Infection
title_fullStr An Infant With Seborrhoeic Dermatitis and Eczema Herpeticum Complicated by a Generalized Infection
title_full_unstemmed An Infant With Seborrhoeic Dermatitis and Eczema Herpeticum Complicated by a Generalized Infection
title_short An Infant With Seborrhoeic Dermatitis and Eczema Herpeticum Complicated by a Generalized Infection
title_sort infant with seborrhoeic dermatitis and eczema herpeticum complicated by a generalized infection
topic Dermatology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8425079/
https://www.ncbi.nlm.nih.gov/pubmed/34522478
http://dx.doi.org/10.7759/cureus.16818
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