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admin 19.04.2014

This is a viral infection of the lips and mouth which is caused by the herpes simplex virus a€“ termed HSV. Herpes doesna€™t always develop symptoms a€“ it does not always cause any outward, visible signs. Kissing or touching and any sexual contact with the area that is infected spreads oral herpes. Many individuals have symptoms of itching, burning, and tingling proceeding the outbreak of blisters or sores. The most concentrated pain from these sores occurs at the onset and can make drinking or eating hard. If a child with cold sores is less than 6 weeks old, the babya€™s physician needs to be notified if oral blisters or sores appear. Individuals with weakened immunity systems should also notify their primary care physician if sores or blisters appear. A physician will make a tentative diagnosis on data provided by the patient and on the physician exam.
Topical anesthetic such as lidocaine (xylocaine, Nervocaine, Dilocaine, Zilactin-L) can be approved for pain relieve of oral blisters and lesions. Oral or IV drugs exist for HSV but only for individuals with weakened immune systems, infants younger than 6 weeks or those with severe disease. Topical Denavir (penciclovir) creams can shorten attacks of recurrent HSV-if it is applied early, normally before lesions develop. These medications may stop viral reproduction in the skin but do not eradicate HSV from the body or stop later outbreaks.
This website is for informational purposes only and Is not a substitute for medical advice, diagnosis or treatment. Genital herpes is a sexually transmitted infection that can cause blisters and skin ulcers in the genital and anal area.
HSV spreads from person to person through kissing and skin-to-skin contact, as well as through vaginal, oral or anal intercourse. In a pregnant woman with HSV infection (usually HSV-2), the virus can pass to the baby during delivery, causing infections of the newborn’s skin, mouth, lungs or eyes. Newborns infected with herpes around the time of delivery usually develop symptoms 5 to 9 days after birth.


Your doctor may suspect that you have genital herpes based on your sexual history, your symptoms and the results of your physical examination. The diagnosis of herpes infection in the newborn can be difficult because other things can cause similar symptoms in babies, including other types of infections. There is some evidence that people who are infected with genital herpes can reduce the frequency and severity of recurrences and reduce the risk of transmitting the infection to sexual partners by taking antiviral medication every day (see Treatment, below). People with active genital herpes sores are more likely to become infected with HIV if they are exposed through sexual intercourse. Pregnant women who have visible ulcers from genital herpes at the time of delivery usually are encouraged to have a Caesarean section to prevent HSV from spreading to the newborn.
Episodes of genital herpes can be treated with oral antiviral medications, including valacyclovir (Valtrex), famciclovir (Famvir) and acyclovir (Zovirax). Although these antiviral medications cannot cure the herpes infection, they can reduce the severity and shorten the duration of symptoms. For recurrences, an antiviral medication can be started at soon as symptoms are noticed to make the outbreak less severe. The decision about whether to treat a pregnant woman known to have herpes with antivirals during the weeks before delivery should be made on a case-by-case basis together with an obstetrician. Call your doctor if you have any blisters or sores in your genital area, especially if you are pregnant, have frequent bouts of symptoms or want to know how to best protect your sexual partner from getting infected. Although there is no cure for genital herpes, the frequency and severity of recurrences often decreases with time.
For babies with disseminated herpes infection (the most severe type), early treatment with antivirals improves the chance of survival and helps decrease the risk of long lasting complications. An infected person often transmits the virus when skin blisters or ulcers are visible, but the virus also can be spread when there are no symptoms or skin sores at all. If the herpes virus spreads through the baby’s bloodstream, it can cause serious infections of the brain and other vital organs.
Herpes infection that has spread to the brain causing headache, fever, confusion and sometimes seizures.
Inflammation of the rectum or anus that can involve pain, bleeding, fever and chills, usually related to unprotected anal sex. When symptoms develop, they can occur from a few days to a few weeks after contact with an infected person, but sometimes an infected person might not have any symptoms for years.


Your doctor may want to confirm the diagnosis by scraping the affected skin area for laboratory testing. Your doctor may wish to test you for other infections, such as syphilis, gonorrhea, chlamydia, trichomonas and human immunodeficiency virus (HIV). Special cultures and blood tests similar to those used in adults help confirm the diagnosis in newborns. They also should tell all sex partners about their herpes infection and use condoms during sexual activity.
If you have HIV and you are infected with HSV-2, you may be more likely to spread HIV to others.
Because the decision to have a Caesarean section is based on many factors, a pregnant woman with HSV infection should discuss the subject with her physician as early as possible in her pregnancy. People with severe or frequent recurrences should consider taking an antiviral medication daily. If a newborn baby is infected with herpes, the infection is treated with an antiviral medication given intravenously.
If the virus spreads through the baby’s bloodstream to the brain, there can be sleepiness or irritability, and seizures. The pattern of recurrence (how frequently it happens, how long it lasts and what the symptoms are) is different for every person.
Women with their first outbreak at the time of delivery have the highest risk of transmitting the virus to the baby. In people who have repeated herpes episodes, symptoms can be triggered by physical or emotional stress.
The virus can also spread to the baby’s liver, lungs and other organs, causing disseminated (wide-spread) disease. Women known to have herpes before delivery may be counseled to take antivirals for the last few weeks of their pregnancy, but this decision should be made on a case-by-case basis. Herpes in a newborn can be from either HSV-1 or HSV-2, but HSV-2 tends to cause more severe disease.



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  • ValeriA, 19.04.2014 at 18:41:33
    Laboratory research suggest extended administration of acyclovir as a prophylactic or its and medicinal.
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