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Hoffmann, R. A wiki for the life sciences where authorship matters. Nature Genetics (2008)

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Opitz, J.C. et al.

Recurrent neonatal herpes presenting initially with hoarseness.

This report describes a newborn with recurrent herpes simplex meningoencephalitis despite vigorous antiviral therapy. The course is unusual in that the presenting symptom was hoarseness. Despite probable adequate acyclovir levels in the spinal fluid, a second episode or progression of herpetic encephalitis occurred, suggesting impairment of host defenses, particularly cellular immunity. This episode was treated with both acyclovir and vidarabine. Pharmacokinetics of the antiviral therapy and immune responses are discussed.[1]

References

Recurrent neonatal herpes presenting initially with hoarseness. Opitz, J.C., Kettrick, M.A., Sullivan, B.J. American journal of perinatology. (1989) [Pubmed]

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