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A Case of Perinatal Varicella Infection

Journal of the Korean Pediatric Society 2003;46(10):1047-1050.
Published online October 15, 2003.
A Case of Perinatal Varicella Infection
Jeong A Rho, Young Il Rho, Eun Young Kim, Sang Kee Park
Department of Pediatrics, College of Medicine, Chosun University, Gwangju, Korea
Perinatal Varicella Infection 1례
노정아, 노영일, 김은영, 박상기
조선대학교 의과대학 소아과학교실
Correspondence: 
Sang Kee Park, Email: skpark@chosun.ac.kr
Abstract
Maternal varicella resulting in viremia may transmit the virus to the fetus by either transplacental spread, or by ascending infection from lesion in the birth canal. The characteristic symptoms consist of skin lesions in dermatomal distribution, eye diseases, neurological defects, and limb hypoplasia. Varicella of the newborn is a life-threatening illness that may occur when a newborn is delivered either within five days of the onset of the illness or after postdelivery exposure to varicella. The severity of neonatal disease is dependent upon the timing of maternal illness. The clinical approach to varicella of newborns should emphasize prevention. Our patient was the first child of a 31-year- old mother who had varicella-zoster ten days before delivery. The child showed muscular hypotonia, poor feeding but no skin lesions.
Key Words: Maternal varicella, Transplacental spread


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