A male infant was delivered by emergency cesarean section because of suspected maternal genital herpes infection. The neonate was the product of a full-term pregnancy. The mother was in her thirties, gravida 2 para 1, and had a history of cocaine addiction. Her previous pregnancy was complicated by gonorrhea and syphilis, for which she had been treated one year earlier. The last known rapid plasma reagin (RPR) titer was 1:32.
Serological test results for human immunodeficiency virus (HIV) had been negative. Amniotic membranes were ruptured at home; the period of elapsed time to presentation at the hospital was not known. PMH There had not been any maternal prenatal care and prenatal laboratory test results were not known. Physical Examination: The weight was 2.5 kilograms; weight and head circumference were at the 50th percentile. Apgar scores were 3, 6 and 8 at 1, 5 and 10 minutes,…
