Although the vast majority of neonatal HSV cases are acquired in the peripartum period from contact with secretions from the maternal genital tract, occasionally, neonatal infection is acquired postnatally. There have been multiple case reports of neonatal HSV in male infants following out-of-hospital Jewish ritual circumcision.118-120 In Jewish tradition, male infants are circumcised 8 days after birth by a mohel in a ritual known as a bris. Mohels receive specific training on the procedure. In a small subset of the Orthodox Jewish community, the Mohel orally sucks the blood after cutting the foreskin, an act known at mezizah.
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