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Images in paediatrics
What lies beneath: HSV meningitis in the asymptomatic infant
  1. Siobhan Whelan,
  2. Louise Capra
  1. General Paediatrics, Children's University Hospital, Dublin, Ireland
  1. Correspondence to Dr Siobhan Whelan, Children's University Hospital, Temple Street, Dublin 1, Ireland; siobhwhelan{at}

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A 15-day-old infant presented with vesicular lesions over the chest, scalp and axilla (figures 1 and 2). Clinical examination appeared normal. She was a term vaginal delivery with no septic risk factors. Maternal herpes simplex virus (HSV) IgG was negative on booking bloods. However, there was postnatal exposure to a relative with an active cold sore. Full blood count and inflammatory markers were normal. Viral swabs of the lesions detected HSV-1 on PCR testing. HSV-1 PCR was …

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  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Ethics approval Solely a case description and image of a clinical presentation with parental consent supplied.

  • Provenance and peer review Not commissioned; externally peer reviewed.