Genital Herpes Flashcards
1
Q
What organism causes genital herpes?
A
Herpes Simplex
HSV-1 = cold sores + genital HSV-2 = genital
2
Q
What is the pathophysiology of genital herpes?
A
HSV enters the body through small cracks in skin/mucosa
Travels to nearest ganglion
- trigeminal = cold sore
- sacral = genital
Reactivation causes symptom flair
3
Q
What are features of an active genital herpes infection?
A
Ulcers/blisters
Neuropathic pain
Flu-like symptoms
Itchy genitals
4
Q
How is suspected genital herpes investigated?
A
History - ask about partner symptoms including cold sores
Viral PCR swab from open sore
5
Q
How is genital herpes managed?
A
Primary
- PO aciclovir
Reactivation = symptomatic relief
6
Q
How is genital herpes in pregnancy managed?
A
Before 28 weeks = PO aciclovir
If active = recommended caesarean section
