2014, Number 10
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Ginecol Obstet Mex 2014; 82 (10)
Herpes gestationis. A case report
Moreno-Díaz JA, Paredes-Solis V, Martínez-Chagolla BJ, Sereno-Coló JA
Language: Spanish
References: 10
Page: 697-704
PDF size: 437.97 Kb.
ABSTRACT
Case report. 21 years old woman with 30 week pregnancy, complicated
by a 3 month multi-treated skin condition, who was referred to General
Hospital Morelia, with probable diagnosis of Kapossi sarcoma and suspected
HIV. She presented with exulcerations involving the palate, lips,
chest, abdomen, back and extremities. The lesions were, itchy and painful,
with thick yellowish secretion, accompanied by dysphagia to solid
foods. Laboratory results showed normochromic normocytic anemia,
elevation of ESR, hypocalcaemia, increased PCR, results in alterations in
various TORCH listing, HIV negative. The biopsy of a lesion of the forearm
reported histological changes consistent with herpes, subsequently
confirmed by direct immunofluorescence. Liquid aspiration secretion
of one of the lesions reported coagulase negative staphylococcus sp
and Enterobacter cloacae. The final diagnosis was 30 weeks pregnant
women with gestational herpes complicated by pyogenic infection of
the lesions, discarding infection with HIV and found positive for IgG to
toxoplasma, rubella, cytomegalovirus and herpes virus.
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