Tue, 20 Aug 1996 23:08:33 -0500
|
>
>Date: Tue, 20 Aug 1996 13:29:14 -0500
>From: WIC <[log in to unmask]>
>Subject: Herpes Simplex 1
>
>I have a mom whose doctor says her baby has Herpes Simplex 1. The baby has
>blisters in her mouth and mom has two blisters on her nipples. The baby is
>19 mos. old and is being treated with a Lidocaine solution for the mouth and
>a liquid antibiotic. She was advised to stop nursing immediately. Mom
>works during the day and nurses at night and before she goes to work, but
>does not want to quit. She said she has been putting Neosporin on her
>nipples (her own idea) and thinks the blisters are getting better. She is
>not removing the Neosporin before she nurses. The public health nurse told
>her she need to quit or it could turn to genital herpes! Has anyone had
>any experience with this and what was the recommended treatment? How long
>before it should clear up?
At this point I do not see why she should quit nursing as she already has
been exposed long enough to get blisters already. Perhaps continued
nursing might give her a few more blisters but if she has not got severe
pian or discomfort that would cause her to give up the nursing I
wouldn't. It is a self-limited condition which means her body will fight
it off by itself. The baby would be getting lidocaine for pain control.
Why a liquid antiibiotic for a viral infection? Perhaps the MD felt there
was also some secondary infection with a bacteria or wants to treat
prophylactically to prevent a secondary infection.
Both she and the baby may get recurrances of the virus as this is the
"cold sore" virus and it tends to recurr. Usually the next times are not
as severe as the first.
There is very little chance of her getting genital herpes, unless she
transmits the virus by hand contact to her genital area and has a small
abrasion there that would make it easy to transmit.
Karen Cunningham MD, CCFP London
email at [log in to unmask]
Responding by email? Please put "Karen" into the subject line
|
|
|