Herpes Simplex Infections (3)

Question 1

What is it the most common cause of in paediatrics?

What are its 2 types?

Answer 1

➊ Encephalitis

➋ • HSV1 (cold scores) more common in children
• HSV2 (genital herpes) more common in neonates during birth

Question 2

How does it present?

Answer 2

• Altered consciousness
• Altered cognition
• Unusual behaviour
• Acute onset of focal neurological symptoms
• Acute onset of focal seizures
• Fever

Question 3

Which investigations should be done?

How is it managed?

Answer 3

➊ • LP
• MRI Brain
• Swabs
• HIV testing

➋ IV Aciclovir