Herpes simplex

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Herpes simplex is a viral infection caused by two species of the herpes simplex virus (HSV): Herpes simplex virus 1 (HSV-1) and Herpes simplex virus 2 (HSV-2). Both HSV-1 and HSV-2 are members of the Herpesviridae family and the Alphaherpesvirinae subfamily. Herpes simplex is a common infection worldwide and is characterized by recurrent episodes of blisters and sores on the skin or mucous membranes.

Transmission and risk factors[edit | edit source]

Herpes simplex is transmitted primarily through direct contact with infected individuals. The virus can be spread through skin-to-skin contact, sexual contact, saliva, or contact with infected surfaces. The risk of transmission increases during active outbreaks when blisters or sores are present, but asymptomatic shedding of the virus can also lead to transmission.

Risk factors for contracting herpes simplex include:

  • Unprotected sexual contact
  • Multiple sexual partners
  • Previous history of other sexually transmitted infections
  • Weakened immune system

Symptoms and clinical presentation[edit | edit source]

Herpes simplex can present differently depending on the affected area and the individual's immune system. Some people may not experience any symptoms, while others may exhibit the following:

  • Blisters and sores: These may appear on the mouth (cold sores), genitals (genital herpes), or other areas of the skin.
  • Pain, itching, or burning at the site of infection
  • Fever
  • Fatigue
  • Swollen lymph nodes
  • Muscle aches

Diagnosis and treatment[edit | edit source]

Diagnosis of herpes simplex is typically based on the appearance of characteristic skin lesions, as well as laboratory tests, such as viral culture, polymerase chain reaction (PCR), and blood tests for HSV antibodies.

There is no cure for herpes simplex, but antiviral medications can help manage symptoms and reduce the frequency and severity of outbreaks. Common antiviral medications used to treat herpes simplex include:

Complications and prevention[edit | edit source]

While herpes simplex is generally not life-threatening, it can cause complications in some cases, such as:

Meningitis or encephalitis due to HSV infection of the central nervous system Neonatal herpes, which can be life-threatening for newborns if the mother has an active outbreak during childbirth Increased risk of acquiring or transmitting other sexually transmitted infections, including HIV.

Prevention strategies for herpes simplex include:

  • Practicing safe sex, such as using condoms and dental dams, and limiting the number of sexual partners
  • Avoiding sexual contact during active outbreaks
  • Regular testing for sexually transmitted infections
  • Antiviral medications for individuals with frequent outbreaks or in serodiscordant couples (where one partner has herpes and the other does not) to reduce the risk of transmission
  • Avoiding direct contact with cold sores or other herpes lesions

See also[edit | edit source]

References[edit | edit source]

External links[edit | edit source]

Summary[edit | edit source]

In summary, herpes simplex is infection by the herpes simplex virus, which causes blisterlike sores on the face, lips, mouth, or genitals; in rare cases, can also affect the eyes, fingers, or brain.

Herpes simplex Resources
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Contributors: Prab R. Tumpati, MD