Herpes

Question 1

What are the two types of HSV that infect genitals?

Answer 1

HSV 1 and 2

50:50 infection

Question 2

What is more common in mouth herpes?

Answer 2

HSV 1

Question 3

Typical presentation

Answer 3

” 24 y/o woman presents with painful sores in the genital area. She complains of dysuria and a headache. O/e she has nuchal rigidity and bilateral inguinal lymphadenopathy. “

The nuchal rigidity and headache are meningitis as a common complication of HSV infection is meningitis

Question 4

Symptoms?

Answer 4

Burning
Itching
Dysuria

Question 5

What may be the pattern of infection?

Answer 5

Tends to be recurrent attack

Question 6

Investigation if lesions present?

Answer 6

Swab of lesions

Question 7

What should be done with the swab sample?

Answer 7

HSV PCR

Question 8

What test can be done if a patient presents describing previous infection but no lesions?

Answer 8

IgG assay

Question 9

Management of disseminated HSV infection?

Answer 9

IV Aciclovir

Question 10

Management of genital symptoms?

Answer 10

Aciclovir

Topical lidocaine