3-week-old baby hospitalized with brain infection after bris gone wrong
Evidence of newborn herpes infections accompanied by brain infections and their connection to the 'oral suction' in circumcisions have been widely described in medical history for the past 200 years.
A three-weeks-old baby is currently in serious condition at the
Bnei Zion Medical Center in Haifa due to a herpetic infection, which
began in the genital area and has spread to the brain, leading to
convulsions and seizures.
Laboratory
tests found that the infant likely contracted the Type 1 herpes virus
during his bris, directly from the mohel, who performed the ceremony
using the controversial Orthodox method of blood cleaning known as
"Metzitzah B'Peh," or oral suction.
Director
of Pediatrics at Bnei Zion Medical Center, Prof. Itzhak Sarugo, said
that "the baby was hospitalized in serious condition, with a visible
inflammation of the brain (encephalitis) accompanied by prolonged
convulsions and a severe skin infection that started in the groin area
where the circumcision was performed."
The
baby was rushed to Bnei Zion Hospital by his parents immediately after
they noticed a large infection in the genital area following the bris.
During
hospitalization in the pediatric ward, the herpes virus was discovered
in both the cerebrospinal fluid and in the lesions that were on the
baby's skin.
During
the first three days of hospitalization the infant suffered from
numerous seizures despite receiving treatment both for seizures and the
virus.
Sarugo said
that "the antiviral treatment he received is aimed at destroying the
virus in the brain and preventing the inflammation of the nervous
system. The baby will have to receive this treatment for the next six
months."
The professor explained that "evidence of
newborn herpes infections accompanied by brain infections, and their
connection to the oral suction in circumcisions, have been widely described in medical history for the past 200 years.
"The
herpes virus can cause a skin infection, which can spread to the brain
and cause severe inflammation of the brain and even death," Sarugo said.
The
neonatal herpes virus can also be transmitted while a baby passes
through the birth canal, though not through the placenta, often leading
to preventative C-section surgeries.
However, in adults, the virus is most often spread through saliva, sexual contact or blood transfusions.
Bnei
Zion Medical Center further stated that "the nature of the lesions'
diffusion and onset in the groin area and the continued spread of the
lesions imply infection during the bris in the sucking stage when there
is contact between the mohel's mouth and the baby's blood."
The Talmud writes that a "Mohel (Circumciser) who does not suck creates a danger, and should be dismissed from practice." Rashi, commenting on that Talmudic passage, explains that the purpose of this step is to draw some blood from deep inside the wound, to prevent danger to the baby.
The
suction phase in circumcisions today is most often performed by using a
small suction tube, similar to the kind found at a dentist's office,
thus avoiding the use of the mouth as recommended by the Pediatric
Association and the Ministry of Health. However,
some Orthodox and Hassidic Jewish factions still use the Metzitzah
B'Peh method for traditional reasons, since it is one of the four steps
to fulfill the mitzvah (commandment).