Abstract
Two cases of neonatal herpes encephalitis that showed an apparent uneventful recovery had concurrent severe, diffuse cerebral imaging abnormalities, in a report from Gillette Children's Specialty Healthcare, St Paul, and Children's Hospital, Minneapolis, MN.
Highlights
This case represents a rare example of herpes zoster occurring in an immunocompetent child and resulting from reactivation of the varicella vaccine virus received at immunization 20 months previously
Cases of human vaccinia virus infection are reported after contact with the bait, usually via dogs that find and eat the bait
The initial discordance of clinical response to acyclovir and brain imaging abnormalities indicates the need for serial CT or MRI during treatment of neonatal herpes encephalitis
Summary
This case represents a rare example of herpes zoster occurring in an immunocompetent child and resulting from reactivation of the varicella vaccine virus received at immunization 20 months previously. An unusual source of vaccinia virus is reported as follows: Human vaccinia infection after contact with raccoon rabies vaccine bait.
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