Fetal ventriculomegaly and herpes encephalitis following primary maternal herpes simplex infection.

We present a case of a 19-year-old woman who developed a primary HSV outbreak at 17 weeks of gestation and was treated with acyclovir. A congenital malformation scan at 18 weeks of gestation demonstrated no fetal abnormalities; however, an ultrasound at 33 weeks showed a new finding of ventriculomegaly. Additionally, hydrocephalus was confirmed with magnetic resonance imaging. New-onset ventriculomegaly in the setting of primary HSV infection in pregnancy should be considered as an in utero diagnostic indicator of antenatal herpes simplex infection and herpes encephalitis. PMID: 28966468 [PubMed]
Source: Baylor University Medical Center Proceedings - Category: Universities & Medical Training Authors: Tags: Proc (Bayl Univ Med Cent) Source Type: research