Neonatal HSV infection occurs in a variety of settings, with a rate of 1-6 per 20,000 births. The majority of infections are incurred at delivery, from exposure to HSV in maternal genital secretions. Postnatal HSV infections occur via transmission by healthcare givers with oral lesions. This study, by Gesundheit el al (2004), evaluates a series of eight cases of neonate genital herpex simplex virus type 1 (HSV-1) infection following Jewish ritual circumcisions conducted in three hospitals in Israel and one hospital in Canada. The infants developed HSV-1 symptoms roughly one week after ritual circumcision (± 2.5 days). The traditional ritual requires ...
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