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.
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.