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The personality of the Exotic is a combination of the placid, affectionate nature of the Persian with the playful inquisitiveness of the American Shorthair. While their shorter hair is less obvious than a Persian’s coat, they do shed heavily leading up to summer. Pricing on Exotics usually depends on type, applicable markings and bloodlines distinguished by Grand Champion,  National or Regional winning parentage or of Distinguished Merit parentage.
Because of the regular use of Persians as out-crosses, some Exotics may carry a copy of the recessive longhair gene.
The Exotic Shorthair is similar to the Persian in many ways, including temperament and conformation, with the exception of the short dense coat. They live between 12 and 14 years.  (6) The squashed face of the exotic Shorthair cat can lead to some eye problems. Harvey Simon, MD, Editor-in-Chief, Associate Professor of Medicine, Harvard Medical School; Physician, Massachusetts General Hospital.
An active infection is typically characterized by a variety of respiratory symptoms and eye issues. It is believed that stress or compromise of the cat’s immune system can trigger an episode wherein the cat shows physical signs of an active viral infection. Your vet will need to determine if your cat is having an active flare up of FHV-1 or if the symptoms are being caused by something else. Studies indicate that corticosteroid injections may also cause an outbreak in an infected cat.
You should consult your veterinarian before you supplement your cat’s diet with any supportive therapy. To confirm a positive diagnosis of FHV-1 the vet will have to take a swap from the cat’s mouth and eye which will be sent to a laboratory for PCR polymerase hain reaction test. In some cases the cat may have other viral bacterial or mycoplasmal infections at the same time as the FHV-1 flare up. 8)    Interactive Medical Media LLC, Fitzpatrick's Color Atlas & Synopsis of Clinical Dermatology, Dr. An ideal Exotic should present an impression of a heavily boned, well balanced cat with a sweet expression and soft, round lines (3)An average exotic breed weighs around 6-14 pounds. Exotics mature later than most other breeds, and since all pets should be neutered and spayed at an early age, problems related to spraying and other adult urges aren’t a concern.
Blocked tear ducts and discharge from the eyes is common so keep the eyes clean with a tissue or wet washer. The flat nose can sometimes be bred in such a way that the nostrils are too small to allow enough air in when breathing and these cats wheeze a lot and if under stress, especially in hot climates can go blue (cyanotic). Because feline Herpes affects the airways, many kittens infected before the first vaccine tend to become chronic carriers of Herpes and sneeze all the time, often with mucky discharge that has to be cleaned from their noses. The clearness in your post is simply spectacular and i can take for granted you are an expert on this field. Once the cat has recovered and if it is in good health its immune system usually manages to keep the virus dormant. If your cat shows any of the signs of respiratory distress or eye problems bring them to your veterinarian for an exam. Co-infections result in the cat being much sicker and can result in severe damage to the nasal and respiratory systems. It is intended for general informational purposes only and does not address individual circumstances.
Persians are a very popular indoor cat, but require daily grooming to maintain their beautiful coat, so busy people who like Persians but don’t have time for daily grooming, can choose the Exotic. In 1966, Jane Martinke, a CGA judge and ASH breeder managed to get the Cat Fanciers’ Association to recognize them as a new breed, under the name Exotic Shorthair.(1) The first name suggested for them was Sterling because of its silver color.
Adult Exotics enjoy simple pleasures, like watching water drip from a faucet or chasing paper balls around the house. After twelve weeks, kittens have had their basic inoculations and developed the physical and social stability needed for a new environment. Ironically, longhaired Exotics are not considered Persians by CFA, although The International Cat Association accepts them as Persians. It is important to get your vet to check your cat’s airways as there is an operation to correct this problem.
Unfortunately, kittens from catteries where they are intensively bred and housed often come with Herpes.
Well with your permission allow me to grab your rss feed to keep up to date with succeeding post. HSV-1 can also cause genital herpes. Herpes simplex virus 2 (HSV-2) is the most common cause of genital herpes, but it can also cause oral herpes. Can You Get Rid Of Herpes Simplex 1 at home the cat’s nostrils and eyes need to be kept clear of discharges. However if the cat becomes overly stressed or its immune system is compromised there may an occasional outbreak. Your Can You Get Rid Of Herpes Simplex 1 vet will need to determine if your cat is having an active flare up of FHV-1 or if the symptoms are being caused by something else. Rhinotracheitis refers to a group of viral and Can You Get Rid Of Herpes Simplex 1 bacterialinfections that cause upper respiratory infection in cats. To confirm a positive diagnosis of FHV-1 the vet will have to take a swap from the cat’s mouth and eye which will be sent to a laboratory for PCR polymerase chain reaction test. All therapy is aimed at treating the symptoms and shortening the length and severity of the outbreak. You may want to clean your cat’s face with a physiologic saline solution followed by treatment with a bromhexine ointment. To confirm a positive diagnosis of FHV-1 the vet will have to take a swap from the cat’s mouth and eye which will be sent to a laboratory for PCR polymerase chain reaction test. Some types cause warts and are usually harmless, but others may lead to cervical or anal cancer. It is not a substitute for professional veterinary advice, diagnosis or treatment and should not be relied on to make decisions about your pet’s health.
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However, they settled on the on Exotic Shorthair as a name, reasoning that by the introduction of new silver color in the American Shorthair, the breeders had made the breed exotic. Keeping such a rare treasure indoors, neutering or spaying and providing acceptable surfaces (e.g. Trends in HSV Types and Genital Herpes Genital herpes can be caused by either HSV-2 or HSV-1. You may want to clean your cat’s face with a physiologic saline solution Can You Get Rid Of Herpes Simplex 1 followed by treatment with a bromhexine ointment. The virus can live in the cat’s body for a long time without the cat showing any effects or symptoms.
Never ignore professional veterinary advice in seeking treatment because of something you have read on the WebMD Site. Exotics stay playful as adults and bring pleasure for many years.  (4) Exotics love to sleep and live a luxurious life style.
Many cats with feline Herpes end up at eye specialists because of ulcers on the eyes that won’t heal and have to have lysine supplements and eyedrops to control the infections all their life.  The kitten vaccines protect them from Herpes, but only if they come into contact with it for the first time at least 2 weeks AFTER the first vaccination.
In recent years, HSV-1 has become a significant cause in developed countries, including the United States. The virus can live in the cat’s body for a long time without the cat Can You Get Rid Of Herpes Simplex 1 showing any effects or symptoms.
Your vet will need to determine if your cat is having an active flare up of FHV-1 or Can You Get Rid Of Herpes Simplex 1 if the symptoms are being caused by something else. In 1987 CFA completely banned Exotic to shorthair out-crosses, allowing Persian out-crosses only. They quietly beg for your attention by just sitting in front of you with an irresistible look focused on your eyes. Exotics are great companion pets for the elderly as well as being suitable for a family.(6) They tend to be generally livelier and more inquisitive than Persians, (3) although as the Exotic’s line of Persian ancestors is becoming longer and longer, their temperament is becoming more Persian like. The term comes from the shape of the tiny parasites, which look very different from head or body lice. They will jump in your lap to curl up for a nap or push their wet nose right into your face. Some like to sit on your shoulder and hug you when you pet them.  An Exotic is very comfortable to have in your home. The risk of infection is highest during outbreak periods when there are visible sores and lesions. ScabiesScabies is an itchy infestation caused by a tiny mite that burrows into human skin to lay eggs.
It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health.
Symptoms When genital herpes symptoms do appear, they are usually worse during the first outbreak than during recurring attacks. They will jump until exhausted trying to catch a toy on a stick, or they will sit and carefully study how to get the toy down from the top of the bookcase where it was placed when you stopped playing with them. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. Herpes, Pregnancy, and Newborn Infants Herpes can pose serious risks for a pregnant woman and her baby. The Clap (Gonorrhea)Gonorrhea spreads easily and can lead to infertility in both men and women, if untreated. The risk is greatest for mothers with a first-time infection, because the virus can be transmitted to the infant during childbirth.
Guidelines from the American Academy of Pediatrics recommend using specific diagnostic tests for women in labor to determine the risk of transmission. Babies born to mothers infected with genital herpes are treated with the antiviral drug acyclovir, which can help suppress the virus.
They include human herpes virus 8 (the cause of Kaposi sarcoma) and varicella-zoster virus (also known as herpes zoster, the virus responsible for shingles and chickenpox).


Se o virus for resistente, existem outras alternativas de tratamento possiveis, incluindo os medicamentos Foscarnet, Vistide. Itchy blisters that appear after hiking, gardening, or spending time outdoors could be a reaction to poison ivy, oak, or sumac. Later there may be a rash on the soles, palms, or other parts of the body (seen here), as well as swollen glands, fever, hair loss, or fatigue. In the late stage, symptoms come from damage to organs such as the heart, brain, liver, nerves, and eyes.
The first time someone is exposed to the virus, it causes the widespread, itchy sores known as chickenpox.
The word "herpes" comes from the Greek word "herpein," meaning "to creep." This refers to the unique characteristic pattern of all herpes viruses to creep along local nerve pathways to the nerve clusters at the end, where they remain in an inactive (dormant) state for variable periods of time. Depois de surgirem estes sintomas, o aparecimento de bolhas ou de manifestacoes cutaneas na zona da boca pode ocorrer em poucas horas, ou em 2 ou 3 dias. HSV-1 can also cause genital herpes, which is a sexually transmitted disease (STD). Herpes simplex virus 2 (HSV-2) is the usual cause of genital herpes, but it can also cause oral herpes.
Quando aparecem, as bolhas estarao rodeadas por uma zona avermelhada, com alguma dor associada.O primeiro episodio pode ser leve ou grave. If you have shingles symptoms, see your health care provider even if you think you've never had chickenpox.
Many childhood cases of chickenpox are mild enough to go unnoticed, but the virus can still linger and reactivate.
Until recently, the general rule was to assume that HSV-1 caused oral herpes and HSV-2 caused genital herpes. In most healthy people, the blisters leave no scars, and the pain and itching go away after a few weeks or months. It is now clear, however, that either type of herpes virus can be found in the genital or oral areas (or other sites).
This virus is usually not an STD; it spreads easily among household members or through kissing. In fact, HSV-1 is now responsible for more than half of all new cases of genital herpes in developed countries. The Disease ProcessHerpes is transmitted through close skin-to-skin contact. But it can be spread to the genitals through oral or genital contact with an infected person. People older than age 60 are 10 times more likely to get shingles than children under age 10. To infect people, the herpes simplex viruses (both HSV-1 and HSV-2) must get into the body through tiny injuries in the skin or through a mucous membrane, such as inside the mouth or on the genital or anal areas. The risk for infection is highest with direct contact of blisters or sores during an outbreak.
But the infection can also develop from contact with an infected partner who does not have visible sores or other symptoms. Once the virus has contact with the mucous membranes or skin wounds, it enters the nuclei of skin tissue cells and begins to replicate. Herpes Simplex Virus Type 2Most cases of genital herpes are caused by a virus called HSV-2. It's highly contagious and can spread through intercourse or direct contact with a herpes sore. This pain, due to damaged nerves in and beneath the skin, is known as postherpetic neuralgia. The virus is then transported from the nerve endings of the skin to clusters of nerve cells (ganglia) where it remains inactive (latent) for some period of time. A cultura viral, o teste de ADN viral, ou o teste de Tzanck da lesao da pele podem revelar o virus do herpes simplex.Sintomas da herpes genitalNo inicio da herpes genital irao aparecer alguns sintomas previos ao surgimento das feridas, tais como comichao, dor, ardor, estados febris, dor muscular, calafrios e mal-estar.
However, at some point, the virus wakes up and travels along nerve pathways to the surface the skin where it begins to multiply again.
Depois, aparecerao as feridas em forma de bolha, rodeadas com margens avermelhadas, com um liquido dentro. During this time, the virus can infect other people if it is passed along in body fluids or secretions. Quando a ferida fica proxima do anus, essas feridas provocarao ardor durante a miccao ou ao defecar. Outros sintomas habituais na herpes genital e a falta de apetite e o aparecimento de inguas (ganglios linfaticos aumentados) nas virilhas. Viral shedding may be accompanied by noticeable symptoms (outbreak) but it can also occur without causing symptoms (asymptomatic shedding). People can be infected through sex, needle sharing, and at birth, as well as by sharing razors and toothbrushes.
A herpes genital pode ocorrer em toda a area genital, podendo aparecer na vulva, no penis, na zona perianal e no anus. Prompt treatment can make a case of shingles shorter and milder, while cutting in half the risk of developing postherpetic neuralgia. In either case, a person is infectious during periods of viral shedding. Symptoms may appear as multiple small red bumps or patches that develop blisters.
Nalguns casos, pode mesmo ocorrer internamente, no canal vaginal, no colo do utero ou na uretra. Assim, e normal, mesmo depois da primeira crise debelada, que volte recorrentemente a sofrer de herpes.
If the pain is severe or the rash is concentrated near an eye or ear, consult your doctor right away. Quando aparecem as feridas da herpes, o seu tratamento e feito com farmacos antivirais, e tambem, com anti-inflamatorios, durante um periodo habitual de 10 dias. Certain triggers can wake up the virus from its dormant state and cause it to become active again. Os medicamentos antivirais tomados por via oral podem ajudar os sintomas a desaparecerem mais cedo e diminuir a dor.Aciclovir, famciclovir e valaciclovir sao os tres tratamentos orais atualmente disponiveis no mercado farmaceutico. To speed up the drying out of the blisters, try placing a cool, damp washcloth on the rash (but not when wearing calamine lotion or other creams.) If your doctor gives you the green light, stay active while recovering from shingles. No entanto, o uso de medicamentos apenas serve para acelerar o desaparecimento e para aliviar os sintomas, ja que no caso da herpes, a infecao e limitada, desaparecendo naturalmente ao fim de algum tempo, mesmo sem se fazer nada.
In general, recurrent episodes of herpes cause less severe symptoms than the primary outbreak.
In a large trial, this vaccine cut the risk of developing shingles in half and reduced the risk of postherpetic neuralgia by 67%.
The vaccine won't treat a current outbreak of shingles, but it can prevent future attacks if you have already had shingles. HSV-1 is the most prevalent form of herpes simplex virus, and infection is most likely to occur during preschool years. One limitation is the "window period" of up to six months after exposure to HIV when these antibody tests sometimes do not find the virus. Maio 2013 by adminComentarios no Forum (4)nete santos says Agosto 25, 2014 at 7:05 pmboa tarde !!
People can get HSV-2 through genital contact or HSV-1 through mouth-to-genital contact with an infected partner. People take a combination of antiviral drugs in hopes of preventing the infection from advancing to AIDS.
Additional treatments can help prevent or fight off serious infections, if the immune system has weakened.
People with active symptoms of genital herpes are at very high risk for transmitting the infection. Unfortunately, most cases of genital herpes infections occur when the virus is shedding but producing no symptoms.
Most people either have no symptoms or do not recognize them when they appear. In the past, genital herpes was mostly caused by HSV-2, but HSV-1 genital infection is increasing. ChancroidChanchroid is a bacterial STD that is common in Africa and Asia but rare in the U.S. There is also evidence that children today are less likely to get cold sores and become exposed to HSV-1 during childhood. LGV (Lymphogranuloma Venereum)LGV is caused by a type of chlamydia that is usually rare in the U.S. Centers for Disease Control and Prevention (CDC), about 1 in 6 Americans ages 14 to 49 years have genital herpes. While HSV-2 remains the main cause of genital herpes, HSV-1 has significantly increased as a cause, most likely because of oral-genital sex. Pelvic Inflammatory DiseaseNot an STD itself, pelvic inflammatory disease (PID) is a serious complication of untreated STDs, especially chlamydia and gonorrhea. African-American women are at particularly high risk. People with compromised immune systems, such as those who have HIV, are at very high risk for genital herpes. Who's at Risk for STDs?Anyone who is sexually active is at risk for an STD, regardless of gender, race, social class, or sexual orientation. Drugs that suppress the immune system, and organ transplantation, can also weaken the immune system and increase the risk for contracting genital herpes. It is almost impossible to defend against the transmission of oral herpes, because it can be transmitted by very casual contact, including kissing. The CDC has noted that some STDs are on the rise in men who have sex with men, including syphilis and LGV. Still, you can help reduce the risk of transmitting oral herpes by not sharing objects that touch the mouth, such as eating and drinking utensils, toothbrushes, and towels. Many STDs spread through any type of sexual activity, including skin-to-skin contact and oral sex. It is best to refrain from any type of sex (vaginal, anal, or oral) during periods of active outbreak. However, herpes can also be transmitted when symptoms are not present (asymptomatic shedding). Preventing STDsThe best ways to avoid getting an STD are to abstain from any sexual contact and be in a monogamous, long-term relationship with an uninfected partner. Only water-based lubricants (K-Y Jelly, Astroglide, AquaLube, and glycerin) should be used. These infections can spread through contact with skin lesions that are not covered by a condom. How to Tell Your PartnerIf you think you have an STD, tell your partner(s) as soon as possible. You may be able to spread the infection even if you have already begun treatment or are using condoms.
It is very unlikely to transmit or contract genital herpes from a toilet seat or bath towel. Studies suggest that male circumcision may help reduce the risk of HSV-2, as well as human papillomavirus (HPV) and HIV infections. Many STDs can be passed from mother to baby during pregnancy, childbirth, or after the baby is born. STDs' effects on babies can include stillbirth, low birth weight, neurologic problems, blindness, liver disease, and serious infection.
However, herpes can cause significant and widespread complications in people who don't have a fully functioning immune system.
Treatment during pregnancy can cure some STDs and lower the risk of passing the infection to your baby.  Can STDs Come Back?Most STD treatments do not protect you from getting the same infection again. A course of drugs may cure gonorrhea, syphilis, chlamydia or trichomoniasis, but a new exposure can start a new infection. The CDC recommends that all people diagnosed with herpes simplex virus 2 (HSV-2) get tested for HIV. Most people with HIV are co-infected with HSV-2 and are particularly vulnerable to its complications.
And if you're not taking the right precautions to protect yourself, you can be re-infected quickly or even pick up a second STD.
HSV-2 infection increases HIV levels in the genital tract, which makes it easier for the HIV virus to be spread to sexual partners. Herpes and PregnancyPregnant women who have genital herpes due to either HSV-2 or HSV-1 have an increased risk for miscarriage, premature labor, inhibited fetal growth, or transmission of the herpes infection to the infant in the uterus or at the time of delivery. Herpes in newborn babies (herpes neonatalis) can be a very serious condition. Fortunately, neonatal herpes is rare.
Although about 25 to 30% of pregnant women have genital herpes, less than 0.1% of babies are born with neonatal herpes. The baby is at greatest risk during a vaginal delivery, especially if the mother has an asymptomatic infection that was first introduced late in the pregnancy.


The risk for transmission also increases if infants with infected mothers are born prematurely, there is invasive monitoring, or instruments are used during vaginal delivery.
Transmission can occur if the amniotic membrane of an infected woman ruptures prematurely, or as the infant passes through an infected birth canal. This risk is increased if the woman is having or has recently had an active herpes outbreak in the genital area. Very rarely, the virus is transmitted across the placenta, a form of the infection known as congenital herpes. Also rarely, newborns may contract herpes during the first weeks of life from being kissed by someone with a herpes cold sore. Infants may get congenital herpes from a mother with an active herpes infection at the time of birth.
Aggressive treatment with antiviral medication is required. Most infected pregnant women do not have a history of symptoms, so herpes infection is often not suspected or detected at the time of delivery. Fortunately, if a woman does have genital lesions, rapid diagnostic blood tests can quickly determine her chances of transmitting the virus to her baby during delivery. Some women with new or recurrent herpes may also be prescribed antiviral medication during pregnancy.
A woman with herpes can usually safely breastfeed her baby, as long as she does not have a lesion on her breast or nipple. Neonatal herpes can spread to the brain and central nervous system, causing encephalitis and meningitis.
Herpes can also spread to internal organs, such as the liver and lungs. Infants infected with herpes are treated with acyclovir, an antiviral drug. They usually receive several weeks of intravenous acyclovir treatment, followed by several months of oral acyclovir. It is important to treat babies quickly, before the infection spreads to the brain and other organs. Fortunately, rapid diagnostic tests and treatment with acyclovir have significantly improved survival rates and reduced complication rates.
Nearly all who recover have some impairment, ranging from very mild neurological changes to paralysis.
Like encephalitis, meningitis symptoms include headache, fever, stiff neck, vomiting, and sensitivity to light. Fortunately, herpes meningitis usually resolves after about a week without complications, although symptoms can recur. Herpes Eye ComplicationsOcular herpes is a recurrent infection that affects the eyes.
Herpes Skin ComplicationsEczema Herpeticum: A rare form of herpes infection called eczema herpeticum, also known as Kaposi varicelliform eruption, can affect people with skin disorders and those with a weakened immune system.
In children, this is often caused by thumb sucking or finger sucking while they have a cold sore. It can also occur in adult health care workers, such as dentists, because of increased exposure to the herpes virus. The use of latex or polyurethane gloves prevents herpes whitlow in health care workers. SymptomsHerpes symptoms vary depending on whether the outbreak is initial or recurrent. The primary outbreak is usually worse than recurrent outbreaks, with more severe and prolonged symptoms. In fact, studies indicate that 10 to 25% of people infected with HSV-2 are unaware that they have genital herpes. The first signs are a tingling sensation in the affected areas (genitalia, buttocks, and thighs) and groups of small red bumps that develop into blisters.
The sores may sometimes itch, but itching decreases as they heal. About 40% of men and 70% of women develop other symptoms during initial outbreaks of genital herpes, such as flu-like discomfort, headache, muscle aches, and fever.
Some women may have difficulty urinating and may, occasionally, require a urinary catheter. The virus sheds for a much shorter period of time (about 3 days) compared to an initial outbreak of 3 weeks. Women may have only minor itching, and the symptoms may be even milder in men. On average, people have about four recurrences during the first year, although this varies widely. There are some differences in frequency of recurrence depending on whether HSV-2 or HSV-1 caused genital herpes. HSV-2 genital infection is more likely to cause recurrences than HSV-1. Symptoms of Oral Herpes Oral herpes (herpes labialis) is most often caused by HSV-1, but it can also be caused by HSV-2. It usually affects the lips and, in some primary attacks, the mucus membranes in the mouth.
The sores last 10 to 14 days and can be very uncomfortable. Blisters that may be preceded or accompanied by sore throat, fever, swollen glands, and painful swallowing. Recurrent Oral Herpes Infection: A recurrent oral herpes infection is much milder than the primary outbreak.
It usually manifests as a single sore, commonly called a cold sore or fever blister (because it may arise during a bout of cold or flu). The sore usually shows up on the outer edge of the lips and rarely affects the gums or throat. Recurrences of genital herpes are more likely with HSV-2 infection than with HSV-1 infection.
Occasionally, the symptoms may not resemble those of the primary episode, but appear as fissures and scrapes in the skin or as general inflammation around the affected area.
They include sunlight, wind, fever, physical injury, surgery, menstruation, suppression of the immune system, and emotional stress. For most people, outbreaks recur with more frequency during the first year after an initial attack. The good news is that in most healthy people, recurring infections tend to become progressively less frequent, and less severe, over time. However, other conditions can resemble herpes, and doctors cannot base a herpes diagnosis on visual inspection alone. These tests include: Virologic tests (viral culture of the lesion) Serologic tests (blood tests that detect antibodies) The CDC recommends that both virologic and serologic tests be used for diagnosing genital herpes.
People diagnosed with genital herpes should also be tested for other sexually transmitted diseases. At this time, experts do not recommend screening for HSV-1 or HSV-2 in the general population. Genital herpes can be caused by either HSV-1 or HSV-2. It is important to determine which virus is involved, as the type of herpes infection influences prognosis and treatment recommendations. Recurrences of genital herpes, and viral shedding without overt symptoms, are much less frequent with HSV-1 infection than with HSV-2. False-negative (testing negative when herpes infection is actually present) or false-positive (testing positive when herpes infection is not actually present) results can occur. Your health care provider may recommend that you have a test repeated. Virologic TestsViral culture tests are made by taking a fluid sample, or culture, from the lesions as early as possible, ideally within the first 48 hours of the outbreak. PCR tests are much faster and more accurate than viral cultures, and the CDC recommends PCR for detecting herpes in spinal fluid when diagnosing herpes encephalitis. PCR can make many copies of the virus' DNA, so that even small amounts of DNA in the sample can be detected. However, many labs now use PCR for herpes testing because it is highly accurate. An older type of virologic testing, the Tzanck smear test, uses scrapings from herpes lesions. The scrapings are stained and examined under a microscope for the presence of giant cells with many nuclei or distinctive particles that carry the virus (called inclusion bodies). The Tzanck test is not reliable for providing a conclusive diagnosis of herpes infection and is not recommended by the CDC. Serologic TestsSerologic (blood) tests can identify antibodies that are specific for either HSV-1 or HSV-2. When the herpes virus infects you, your body's immune system produces specific antibodies to fight off the infection. If a blood test detects antibodies to herpes, it is evidence that you have been infected with the virus, even if the virus is in a non-active (dormant) state. The presence of antibodies to herpes also indicates that you are a carrier of the virus and might transmit it to others. Serologic tests can be especially useful for people who do not have active symptoms, but who have other risk factors for herpes (such as other STDs, multiple sex partners, or a monogamous partner who has genital herpes). Although glycoprotein (gG) type-specific tests have been available for many years, many of the older nontype-specific tests that cannot distinguish HSV-1 from HSV-2 are still on the market. Canker sores frequently crop up singly or in groups on the inside of the mouth, or on or underneath the tongue.
They usually heal within 2 weeks without treatment. Canker sores (Aphthous ulcers) are very common. The drugs are used initially to treat a first attack of herpes, and then afterward to either treat recurrent outbreaks (episodic therapy) or reduce frequency of recurrences (suppressive therapy).
Drugs can, however, reduce the severity of symptoms, improve healing times, and prevent recurrences. If people experience very severe disease or complications, they need to be hospitalized and receive an antiviral drug intravenously.
Your health care provider will prescribe one of the three antiviral medications, which you will take for 7 to 10 days. You should begin the medication as soon as you notice any signs or symptoms of herpes, preferably during the prodrome stage that precedes the outbreak of lesions.
If taken during prodrome, episodic therapy may help prevent an outbreak from occurring or reduce its severity. Valacyclovir is taken once a day. Suppressive treatment can reduce the frequency of outbreak recurrences by 70 to 80%. It is generally recommended for people who have frequent recurrences (6 or more outbreaks per year).
Because herpes recurrences often diminish over time, you should discuss annually with your health care provider whether you should stay with drug therapy or discontinue it. While taking any suppressive therapy for genital herpes, it is still important to regularly use latex condoms and to avoid any sexual activity during recurrences.
A new form of acyclovir (Sitavig) is administered orally as an adhesive tablet; it is applied to the gum region of the mouth, where it dissolves during the course of the day.
In addition, acyclovir is available in topical form, as is the related drug penciclovir (Denavir). Topical TreatmentsThese ointments or creams can help shorten healing time and duration of symptoms. However, none are truly effective at eliminating outbreaks. Penciclovir (Denavir) heals HSV-1 sores on average about half a day faster than without treatment, stops viral shedding, and reduces the duration of pain. Ideally, you should apply the cream within the first hour of symptoms, although the medication can still help if applied later.
Apply the cream 5 times a day, beginning at the first sign of tingling or pain. Over-the-counter topical ointments may provide modest relief. They include Anbesol gel, Blistex lip ointment, Camphophenique, Herpecin-L, Viractin, and Zilactin. Some contain a topical anesthetic such as benzocaine, tetracaine, or phenol. Lip balm that contains sunblock, or sunscreen applied around the lips may help prevent sun-triggered outbreaks. Herbs and SupplementsGenerally, manufacturers of herbal remedies and dietary supplements do not need FDA approval to sell their products. Just like a drug, herbs and supplements can affect the body's chemistry, and therefore have the potential to produce side effects that may be harmful. There have been several reported cases of serious and even lethal side effects from herbal products. Always check with your provider before using any herbal remedies or dietary supplements. Many herbal and dietary supplement products claim to help fight herpes infection by boosting the immune system.
There has been little research on these products, and little evidence to show that they really work. Epidemiology, clinical presentation, and antibody response to primary infection with herpes simplex virus type 1 and type 2 in young women. Seroprevalence of herpes simplex virus type 2 among persons aged 14 - 49 years -- United States, 2005-2008. Guidance on management of asymptomatic neonates born to women with active genital herpes lesions.
Epub 2013 Jan 28. Martin ET, Krantz E, Gottlieb SL, Magaret AS, Langenberg A, Stanberry L, et al. Genital shedding of herpes simplex virus among symptomatic and asymptomatic persons with HSV-2 infection.



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