Herpes Simplex Virus

Question 1

What types of HSV virus causes symptoms?

Answer 1

HSV-1 (cold sores) and HSV-2 (genital lesions)

BUT now considerable overlap between the two

Question 2

What is the spread for HSV lesions?

Answer 2

STI

Question 3

What are the clinical features of HSV infections?

Answer 3

primary infection: may present with a severe gingivostomatitis

• cold sores
• painful genital ulceration
• Dysuria
• Lymphadenopathy
• Systemic unwellness

Question 4

How is HSV infections managed?

Answer 4

Aciclovir

Question 5

What are the precautions undertaken with HSV flare during pregnancy?

Answer 5

• Elective caesarean section at term is advised if a primary attack of herpes occurs during pregnancy at > 28 weeks gestation
• Recurrent herpes who are pregnant should be treated with suppressive therapy and be advised that the risk of transmission to their baby is low