Herpes Simplex

Question 1

Features of HSV infection

Answer 1

• severe gingivostomatitis
• cold sores
• painful genital ulceration

Question 2

Treatment of HSV infection

Answer 2

gingivostomatitis
- oral aciclovir
- chlorhexidine mouthwash

cold sores:
- topical aciclovir

genital herpes:
- oral aciclovir

Question 3

If a primary attack of herpes occurs during pregnancy at >28 weeks gestation, what delivery should be considered at term?

Answer 3

elective caesarean section

Question 4

How is recurrent herpes during pregnancy treated? Is there a risk of transmission to the baby?

Answer 4

• Treat with suppressive therapy
• risk of transmission to their baby is low