Herpes Simplex Diagnosis

• Herpes simplex virus (HSV) is spread by direct contact ‘shedding’ from one host to another. Two viral subtypes exist: type I is associated mainly with facial lesions although the fingers and genitals may be affected. Type II is associated almost entirely with genital infections.

• Primary herpes simplex (type I) infection usually occurs in or around the mouth, with variable involvement of the face.
• Recurrent eruption characterized by grouped vesicles on an erythematous base that progress to erosions; often secondarily infected with staphylococci or streptococci. Infections frequently involve mucocutaneous surfaces around the oral cavity, genitals, or anus.

Treatment Herpes Simplex

• Antiviral treatment: Seven days after intense exposure, prophylaxis can be given to high-risk pts who are ineligible for vaccine or for whom the 96-h window after direct contact has passed. This intervention may lessen illness severity.