Jump up ^ Insinga RP, Itzler RF, Pellissier JM, Saddier P, Nikas AA (2005). “The incidence of herpes zoster in a United States administrative database”. J. Gen. Intern. Med. 20 (8): 748–53. doi:10.1111/j.1525-1497.2005.0150.x. PMC 1490195 . PMID 16050886.
Jump up ^ Mayou, R (1975). “Psychological morbidity in a clinic for sexually transmitted disease”. The British journal of venereal diseases. 51 (1): 57–60. doi:10.1136/sti.51.1.57. PMC 1045113 . PMID 1173225.
An eye (herpes keratitis). Sometimes the herpes simplex virus can spread to one or both eyes. If this happens, you can have pain, light sensitivity, discharge, and a gritty feeling in the eye. Without prompt treatment, scarring of the eye may result. Scarring can lead to cloudy vision and even loss of vision.
Neonatal herpes can occur when an infant is exposed to HSV in the genital tract during delivery. This is a rare condition, occurring in an estimated 10 out of every 100,000 births globally, but can lead to lasting neurologic disability or death. The risk for neonatal herpes is greatest when a mother acquires HSV infection for the first time in late pregnancy. Women who have genital herpes before they become pregnant are at very low risk of transmitting HSV to their infants.
^ Jump up to: a b c d e f Fatahzadeh M, Schwartz RA (2007). “Human herpes simplex virus infections: epidemiology, pathogenesis, symptomatology, diagnosis, and management”. J. Am. Acad. Dermatol. 57 (5): 737–63; quiz 764–6. doi:10.1016/j.jaad.2007.06.027. PMID 17939933.
It is best to discuss a new diagnosis of Genital Herpes with your partner. Genital Herpes is most likely to be passed on just before, during or after an outbreak so you should not have sex during this period. When you do not have symptoms, however, there is still a small risk you can pass on the virus to a partner, although using a condom can lower this risk further. You might not need to tell previous partners but it may be helpful to discuss this with someone at your local sexual health clinic.
Usually the first attack causes visible sores with a myriad of other symptoms mentioned below, and commonly more intense than recurrent outbreaks. When the sores are completely healed, the active phase of infection is over. When the skin heals, the sores usually leave no scars. Whether a person has symptoms or not, the virus retreats into the nervous system and lays dormant. Asymptomatic shedding (shedding without symptoms) can still occur when no sores are present. Subsequent recurrences of the disease usually cause lesions but may not have the extreme pain and flu-like symptoms as the initial outbreak.
There are accurate tests to identify whether or not you have been infected with the HIV virus. These can be done in the clinic or at home with the FDA-approved Home Access test kit. The test can be performed anonymously, with only a number to identify you. However, sometimes people may not test positive in the initial 6 months after infection. This time period is referred to as the “window period” in which antibodies may not have developed enough for a positive test. You can still transmit the virus to others during this time.
The earliest symptoms of shingles, which include headache, fever, and malaise, are nonspecific, and may result in an incorrect diagnosis. These symptoms are commonly followed by sensations of burning pain, itching, hyperesthesia (oversensitivity), or paresthesia (“pins and needles”: tingling, pricking, or numbness). Pain can be mild to extreme in the affected dermatome, with sensations that are often described as stinging, tingling, aching, numbing or throbbing, and can be interspersed with quick stabs of agonizing pain.
Chlamydia discharge in women is often caused by cervicitis (the infection of the uterine cervix). It is the most common manifestation of chlamydia in women. The discharge may be yellow or milky white.
Jump up ^ Whitley R, Arvin A, Prober C, et al. (February 1991). “A controlled trial comparing vidarabine with acyclovir in neonatal herpes simplex virus infection. Infectious Diseases Collaborative Antiviral Study Group”. N. Engl. J. Med. 324 (7): 444–49. doi:10.1056/NEJM199102143240703. PMID 1988829. Archived from the original on 2008-12-08.
^ Jump up to: a b c d Gatti A, Pica F, Boccia MT, De Antoni F, Sabato AF, Volpi A (2010). “No evidence of family history as a risk factor for herpes zoster in patients with post-herpetic neuralgia”. J. Med. Virol. 82 (6): 1007–11. doi:10.1002/jmv.21748. PMID 20419815.
There is no cure for herpes simplex. The good news is that sores often clear without treatment. Many people choose to treat herpes simplex because treatment can relieve symptoms and shorten an outbreak.
Jump up ^ Grahn, A; Studahl, M (September 2015). “Varicella-zoster virus infections of the central nervous system – Prognosis, diagnostics and treatment”. Journal of Infection. 71 (3): 281–93. doi:10.1016/j.jinf.2015.06.004. PMID 26073188.
Herpes simplex is divided into two types; HSV-1 causes primarily mouth, throat, face, eye, and central nervous system infections, whereas HSV-2 causes primarily anogenital infections. However, each may cause infections in all areas.
If one partner has a herpes outbreak, avoid sex — even with a condom or dental dam — until all sores have healed. Herpes can be passed sexually even if a partner has no sores or other signs and symptoms of an outbreak. Finally, one way to lessen this risk is to take antiviral medication even when no sores are present if you know you have genital herpes.
The disease results from virus particles in a single sensory ganglion switching from their latent lysogenic cycles to their active lytic cycles. In contrast to the herpes simplex virus, the latency of VZV is poorly understood. The virus has never been successfully recovered from human nerve cells by cell culture. The complete sequence of the viral genome was published in 1986. Virus-specific proteins continue to be made by the infected cells during the latent period, so true latency, as opposed to chronic, low-level, active infection, has not been proven to occur in VZV infections. Although VZV has been detected in autopsies of nervous tissue, there are no methods to find dormant virus in the ganglia of living people.
^ Jump up to: a b Chow AW, Roland A, Fiala M, et al. (March 1973). “Cytosine Arabinoside Therapy for Herpes Simplex Encephalitis – Clinical Experience with Six Patients”. Antimicrob. Agents Chemother. 3 (3): 412–17. doi:10.1128/aac.3.3.412. PMC 444424 . PMID 4790599.
In the US, 58% of the population is infected with HSV-1 and 16% are infected with HSV-2. Among those HSV-2-seropositive, only 19% were aware they were infected. During 2005–2008, the prevalence of HSV-2 was 39% in blacks and 21% in women.
Eye involvement: trigeminal nerve involvement (as seen in herpes ophthalmicus) should be treated early and aggressively as it may lead to blindness. Involvement of the tip of the nose in the zoster rash is a strong predictor of herpes ophthalmicus.
Genital herpes symptoms differ between patients. While some people develop the blisters within a week of infection, others do not experience any symptoms. The most common early sign of a herpes outbreak is a burning or itching sensation on or near to the genitals.
Genital herpes is not only transmitted during vaginal and anal intercourse. It also is possible to get genital herpes in the mouth, tongue, lips and other parts of the body. However, this is quite rare and it usually occurs when blisters are present during intercourse.
Stress, being sick, or being tired may start a recurrence. Being in the sun or having your menstrual period may also cause a recurrence. You may know when a recurrence is about to happen because you may feel itching, tingling, or pain in the places where you were first infected.
Jump up ^ Coplan P, Black S, Rojas C, et al. (2001). “Incidence and hospitalization rates of varicella and herpes zoster before varicella vaccine introduction: a baseline assessment of the shifting epidemiology of varicella disease”. Pediatr. Infect. Dis. J. 20 (7): 641–45. doi:10.1097/00006454-200107000-00002. PMID 11465834.
Herpes is a viral infection that is caused by herpes simplex virus (HSV) types 1 and 2. Herpes infections may be categorized in accordance with the part of the body that is affected. Oral herpes occurs in the facial region—most commonly by HSV type 1, while genital herpes involves the penis or vulva—most commonly by HSV type 2. Less common manifestations affect the hands, eyes, or esophagus.
If the abortion is done by a legal provider at a legal facility, problems after the procedure are rare. A trained counsellor will discuss your options and advise you on which family planning methods are suitable for you.
Note: People with herpes may spread the disease even if they do not realize they have an infection. Furthermore, people with herpes can transmit the infection to others even while their disease appears to be inactive and no sores can be visibly seen.
The virus can also reactivate without any obvious symptoms. Small amounts of the virus may be shed from microscopic blisters or ulcers and from genital or oral secretions. Therefore even a person without any symptoms can still infect others.
Some people do not experience symptomatic herpes recurrences, but for those who do, recurrences are usually shorter and less severe than the primary herpes episode. Recurrences are often preceded by warning symptoms (also known as prodromal symptoms) such as tingling, itching, burning or pain.
^ Jump up to: a b c Johnson RW, Dworkin RH (2003). “Clinical review: Treatment of herpes zoster and postherpetic neuralgia”. BMJ. 326 (7392): 748–50. doi:10.1136/bmj.326.7392.748. PMC 1125653 . PMID 12676845. Archived from the original on 2008-01-31.
In rare cases, herpes simplex can cause encephalitis, an inflammation of the brain. This can affect newborn babies who contract the virus during birth or elderly people who suffer from a weakened immune system. It is usually caused by the herpes simplex virus 1 and it can cause symptoms such as confusion, fever and seizures.
Oral herpes (HSV-1) infection (or exposure without noticeable infection) is common. About 65% of the U.S. population has detectable antibodies to HSV-1 by age 40. This article will focus on HSV-1, or oral herpes, not on HSV-2, also commonly known as genital herpes. Genital herpes is considered to be a sexually transmitted disease (STD). In addition, HSV-2 virus should not be confused with human papillomavirus (HPV), the cause of genital warts, and some cervical and other cancer types.
The first symptom of genital herpes that you are likely to notice is the inflammation of your skin in the genital area, which may burn or itch. This symptom often occurs within 1-2 weeks of infection, during which time the virus multiplies in your cells and causes an outbreak. As the herpes episode progresses, blisters and ulcers develop. When the symptoms begin to subside, the ulcers form scabs, then they gradually disappear.
Jump up ^ Nasser M, Fedorowicz Z, Khoshnevisan MH, Shahiri Tabarestani M (October 2008). “Acyclovir for treating primary herpetic gingivostomatitis”. The Cochrane Database of Systematic Reviews (4): CD006700. doi:10.1002/14651858.CD006700.pub2. PMID 18843726.