Acute retinal necrosis in a neonate with HSV II encephalitis

A 23-day-old term neonate was admitted with fever and seizure for 1 day. On examination, he was febrile and irritable. He also showed a bulging fontanel, nuchal rigidity, and the absence of skin lesions. Infection of the central nervous system was suspected. Examination of cerebrospinal fluid (CSF) revealed a nuclear cell count of 360  × 106/l, with 76% of mononuclear cells, and a protein content of 1062 mg/l. PCR results of herpes simplex virus 2 (HSV II) DNA in both serum and CSF were positive.
Source: Pediatrics and Neonatology - Category: Perinatology & Neonatology Authors: Tags: Images Source Type: research