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Procalcitonin may help differentiate disseminated herpes simplex viral infection from bacterial sepsis in neonates
Authors:M Hatherill  K Sykes  A G McIntyre  I A Murdoch
Institution:(1) Paediatric Intensive Care Unit, Guy's Hospital, St. Thomas' Street, London SE1 9RT, UK Tel.: +44-171-955-2564; Fax: +44-171-955-2563, GB
Abstract:Disseminated herpes simplex virus infection is a potentially fatal condition which may be difficult to differentiate from bacterial sepsis. We report the case of a neonate with overwhelming herpes simplex (type 2) viraemia who presented with `septic shock'. Conclusion A low procalcitonin level (1.6 ng/ml), inconsistent with bacteraemia, suggests an alternative aetiology and may strengthen the case for antiviral therapy. Received: 28 March 1999 / Accepted: 10 August 1999
Keywords:AbbreviationsHSV herpes simplex virus  PCT procalcitonin
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