Pattanasuttinont Sumate
Department of Obstetrics and Gynecology, HRH Maha Chakri Sirindhorn Medical Center, Faculty of Medicine, Srinakharinwirot University, Nakornnayok, Thailand.
J Med Assoc Thai. 2008 Jan;91(1):110-6.
A 30-year-old pregnant woman had skin lesions at 38 weeks of gestation. She was diagnosed as primary varicella zoster infection. Her clinical symptoms were high fever and generalized vesicles eruption. No serious maternal complication was found. The patient delivered a male baby 4 days after she developed skin lesions. The neonatal blood IgM against varicella zoster was negative. The baby was given Varicella zoster immunoglobulin within 24 hours and isolated in a neonatal care unit. The baby developed skin lesions on day 11th post delivery. Intravenous acyclovir was administered for 7 days. Finally, the baby was found to be free of severe neonatal varicella infection.
一名30岁孕妇在妊娠38周时出现皮肤病变。她被诊断为原发性水痘带状疱疹感染。其临床症状为高热和全身性水疱疹。未发现严重的母体并发症。患者在出现皮肤病变4天后产下一名男婴。新生儿血液中抗水痘带状疱疹的IgM为阴性。婴儿在24小时内接受了水痘带状疱疹免疫球蛋白治疗，并被隔离在新生儿重症监护病房。婴儿在出生后第11天出现皮肤病变。静脉注射阿昔洛韦7天。最终，发现婴儿未发生严重的新生儿水痘感染。
