Genital Herpes Flashcards
What strain of herpes virus typically causes genital herpes?
HSV-2
How can HSV-1 be contracted as genital herpes?
Through oro-genital sex
Where does the herpes virus become latent in after infection?
Sensory nerve ganglia
- Trigeminal nerve ganglia in cold sores
- Sacral nerve ganglia in genital herpes
What strain of herpes virus usually causes cold sores?
HSV-1
What is the presentation of genital herpes?
Ulcers or blistering lesions affecting the genital area
Neuropathic pain - burning, shooting
Flu-like symptoms
Dysuria
Inguinal lymphadenopathy
How long can symptoms last during the primary infection?
Up to 3 weeks
How is diagnosis of genital herpes made?
Clinical diagnosis
- Ask about contacts
- Can be confirmed with a viral PCR swab or NAAT testing
What measures can be used to manage the symptoms of genital herpes?
Paracetamol
Topical lidocaine gel
Cleaning with warm salt water
Additional oral fluids
Wear loose clothing
Avoid intercourse
What is the main medicla treatment of genital herpes?
Oral acyclovir
What is the risk of genital herpes during pregnancy?
Risk of neonatal herpes simplex infection, which has high morbidity and mortality
How is herpes passed on from mother to baby?
The antibodies that the woman develops to the virus can pass across the placenta
What is the treatment of primary genital herpes before 28 weeks?
Initial infection treated with acyclovir
Prophylactic acyclovir started at 36 weeks gestation
Women that are asymptomatic can have a normal vaginal delivery
What is the treatment of primary genital herpes after 28 weeks
Initial infection treated with acyclovir, and prophylactic acyclovir is started immediately
C-section recommended
What is the treatment of primary genital herpes
