VZV infection concerning pregnant women and new-borns

Citation
V. Mirlesse et al., VZV infection concerning pregnant women and new-borns, MED MAL INF, 28(11), 1998, pp. 782-790
Citations number
87
Categorie Soggetti
Clinical Immunolgy & Infectious Disease
Journal title
MEDECINE ET MALADIES INFECTIEUSES
ISSN journal
0399077X → ACNP
Volume
28
Issue
11
Year of publication
1998
Pages
782 - 790
Database
ISI
SICI code
0399-077X(199811)28:11<782:VICPWA>2.0.ZU;2-W
Abstract
Infection with Varicella Zoster Virus during pregnancy is a rare condition. Chikenpox can lead to various complications: Maternal complications with the risk of severe pneumonia (risk around 16 %) with sometimes lethal issue. Fetal complications: before 24 weeks of gestation (WG), transmission to the foetus can lead to severe condition in about 2 % cases. Congenital Varicel la Syndrome associates cutaneous lesions, muscular atrophy, central nervous system lesions and disseminated visceral infection. Fetal infection can al so lead to early tester manifestation in the newborn (3 %), or to asymptoma tic infection (3 %). Molecular analysis of the amniotic fluid with PCR can lead to a prenatal diagnosis. Peripartum infection, with maternal eruption between 5 days before and 2 days after delivery, can induce in 25 % of neon atal infection in the infants with an increased risk of severe or lethal in fection. Maternal tester during pregnancy does not lead to an increased ris k of fetal malformation.