PEDIATRICS Vol. 97 No. 1 January 1996, pp. 127-128
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Vocal Cord Paralysis as a Presentation of Intrauterine Infection With Varicella-Zoster Virus

Randy C. Randel MD, FAAP1, Donald B. Kearns MD, FAAP, FACS2, Mark P. Nespeca MD3, Colin A. Scher MD, FACS, FAAP4, and Mark H. Sawyer MD5

1 Neonatal Intensive Care Unit Children's Hospital and Health Center University of California, San Diego School of Medicine San Diego, CA 92123-4282
2 Division of Otolaryngology, Children's Hospital and Health Center San Diego, CA 92123-4282
3 Division of Pediatric Neurology, Children's Hospital and Health Center San Diego, CA 92123-4282
4 Division of Ophthalmology, Children's Hospital and Health Center San Diego, CA 92123-4282
5 University of California, San Diego School of Medicine Department of Pediatrics Children's Hospital and Health Center San Diego, CA 92123-4282

The association of maternal varicella-zoster virus (VZV) infection during pregnancy and congenital anomalies has been previously reported.1,2 Pregnancies complicated by maternal VZV infection have resulted in asymptomatic infants, the fetal varicella syndrome, and otherwise asmptomatic infants with herpes zoster. We report an infant who presented with bilateral vocal cord paralysis.

CASE REPORT

This 3 kg, white female infant was the product of a term gestation to a 29-year-old gravida 4, para 3, therapeutic abortion (TAB) 1 single female who received prenatal care. The mother tested negative for hepatitis B surface antigen and was rapid plasma reagent nonreactive. Pregnancy was complicated by maternal cannabis use.

Submitted on October 20, 1994
Accepted on January 23, 1995




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