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Cesarean delivery should be performed on women with recurrent HSV infection who have active genital lesions or prodromal symptoms at delivery.
Patients may have a fever in the prodromal period, with or without headache.
Recently, there have been confirmed cases of SNV infection in which patients had typical prodromal symptoms but never developed cardiopulmonary involvement.
Some patients may have prodromal symptoms without developing the characteristic rash.
After the chain of infection is complete, there is an incubation, prodromal , and illness period, followed by convalescence.