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admin | Category: Lysine Supplement Herpes | 24.12.2014
This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. TransmissionTo infect people, the herpes simplex viruses (both HSV-1 and HSV-2) must get into the body through tiny injuries in the skin or through a mucous membrane, such as inside the mouth or on the genital area.
Interactive Medical Media LLC, Fitzpatrick's Color Atlas & Synopsis of Clinical Dermatology, Dr. Image Source: Interactive Medical Media LLC, Fitzpatrick's Color Atlas & Synopsis of Clinical Dermatology, Dr. The medical term for cold sores, Herpes Labialis, refers to the Herpes virus Type1 (HSV-1) that most often causes theses sores, though Herpes virus Type 2 (HSV-2) less often can also be a cause. This is because HSV has an incubation period that can range from a few weeks to over a year. The treatment of infection with herpes simplex type 2 is by topical or oral anti-viral medication. Cold Sores medical glossary includes a list of Cold Sores related medical definitions from the MedTerms. Persons infected with HSV can spread the virus outside of a detected outbreak, creating the risk of transmission even when no symptoms are present; suppressive regimens of Valacyclovir work to decrease asymptomatic shedding. Centers for Disease Control and Prevention (CDC) recommends that all patients diagnosed with HSV-2 should be tested for HIV.The majority of patients with HIV are co-infected with HSV-2 and are particularly vulnerable to its complications.
It has been approved by the FDA to treat both HSV-1 and HSV-2 during initial outbreaks, recurrent outbreaks, and as a therapy to suppress the virus’ activity for extended periods of time.
If no lesions are present and cultures indicate no viral shedding, a vaginal delivery can be performed and the newborn is examined and cultured after delivery.Some doctors recommend anti-viral medication for pregnant women who are infected with HSV-2. HSV-1, also known as oral herpes, can cause cold sores and fever blisters around the mouth and on the face.
Immediate medical attention should be sought, as the herpes virus causes an ulcer on the cornea that can damage sight.
Women who are pregnant and infected may have to take medicine to prevent the virus from infecting their unborn babies.


HSV is part of a group of other herpes viruses that include human herpes virus 8 (the cause of Kaposi's sarcoma) and varicella- zoster virus (also known as herpes zoster, the virus responsible for shingles and chicken pox). HSV-1 is the most prevalent form of herpes simplex virus, and infection is most likely to occur during preschool years. Until recently, the general rule was to assume that HSV-1 infections occur in the oral cavity (mouth) and are not sexually transmitted, while HSV-2 attacks the genital area and is sexually transmitted.
However, recurrences of genital herpes, and viral shedding without overt symptoms, are much less frequent with HSV-1 infection than herpes simplex virus 2 (HSV-2). It is important for doctors to determine whether the genital herpes infection is caused by HSV-1 or HSV-2, as the type of herpes infection influences prognosis and treatment recommendations.Virologic TestsViral culture tests are made by taking a fluid sample, or culture, from the lesions as early as possible, ideally within the first 3 days of the outbreak. Always read the consumer medicine information leaflet that comes with your medicine and if you have any questions, ask your pharmacist for advice. Most people either have no symptoms or don't recognize them when they appear.In the past, genital herpes was mostly caused by HSV-2, but HSV-1 genital infection is increasing. Medical names for cold sores include oral herpes, labial herpes, herpes labialis, and herpes febrilis. Herpes meningitis, an inflammation of the membranes that line the brain and spinal cord, occurs in up to 10% of cases of primary genital HSV-2. In fact, studies indicate that 10 - 25% of people infected with HSV-2 are unaware that they have genital herpes. HSV-1 is the main cause of herpes infections on the mouth and lips, including cold sores and fever blisters. There are some differences in frequency of recurrence depending on whether HSV-2 or HSV-1 causes genital herpes. Samples need to be sent to a lab, so results take longer than the in-office Biokit test.Biokit HSV-2 (also marketed as SureVue HSV-2).
HSV-2 genital infection is more likely to cause recurrences than HSV-1.Symptoms of Oral HerpesOral herpes (herpes labialis) is most often caused by herpes simplex virus 1 (HSV-1) but can also be caused by herpes simplex virus 2 (HSV-2). PCR identifies HSV in cerebrospinal fluid and gives a rapid diagnosis of herpes encephalitis in most cases, eliminating the need for biopsies.


Simple canker sores (known medically as aphthous ulcers) are often confused with the cold sores of herpes simplex virus 1 (HSV-1). However, the immune system cannot kill the virus completely.Risk FactorsRisk for Oral HerpesOral herpes is usually caused by HSV-1. Centers for Disease Control and Prevention, about 1 in 6 American teenagers and adults, are infected with HSV-2. While HSV-2 remains the main cause of genital herpes, in recent years HSV-1 has significantly increased as a cause, most likely because of oral-genital sex.
Women are more susceptible to HSV-2 infection because herpes is more easily transmitted from men to women than from women to men. African-American women are at particularly high riskPeople with compromised immune systems, notably patients with HIV, are at very high risk for HSV-2. These individuals are at risk for herpes gladiatorum, an unusual form of HSV-1 that is spread by skin contact with exposed herpes sores and usually affects the head or eyes.Preventing TransmissionInfected people should take steps to avoid transmitting genital herpes to others. Natural condoms made from animal skin do NOT protect against HSV infection because herpes viruses can pass through them.Use a water-based lubricant. While the chances of transmitting or contracting herpes from a toilet seat or towel are extremely low, it is advisable to wipe off toilet seats and not to share damp towels.Recent studies have suggested that male circumcision may help reduce the risk of HSV-2, as well as human papillomavirus (HPV) and HIV infections.
Except in very rare instances and special circumstances, HSV is not life threatening.Herpes and PregnancyPregnant women who have genital herpes due to either herpes simplex virus 2 (HSV-2) or herpes simplex virus 1 (HSV-1) have an increased risk for miscarriage, premature labor, inhibited fetal growth, or transmission of the herpes infection to the infant either in the uterus or at the time of delivery. Aggressive treatment with antiviral medication is required, but it may not help systemic herpes.



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