Herpes Simplex

Herpetic stomatitis. These three children demonstrate the spectrum of oral infection with herpes simplex virus, which ranges from asymptomatic to severe. A: The first patient has a single vesicle on his tongue, B: the second manifests widespread labial lesions, C: the third patient shows dissemination to the face. In the young girl with facial involvement, fluorescein dye is dripping from the right eye after its instillation in an attempt to identify the typical dendritic ulcer seen with herpetic keratitis.

From Fleisher  GR, MD, Ludwig  W, MD, Baskin  MN, MD. Atlas of Pediatric Emergency Medicine. Philadelphia: Lippincott Williams & Wilkins, 2004.

Herpetic stomatitis. These three children demonstrate the spectrum of oral infection with herpes simplex virus, which ranges from asymptomatic to severe. A: The first patient has a single vesicle on his tongue, B: the second manifests widespread labial lesions, C: the third patient shows dissemination to the face. In the young girl with facial involvement, fluorescein dye is dripping from the right eye after its instillation in an attempt to identify the typical dendritic ulcer seen with herpetic keratitis.

From Fleisher  GR, MD, Ludwig  W, MD, Baskin  MN, MD. Atlas of Pediatric Emergency Medicine. Philadelphia: Lippincott Williams & Wilkins, 2004.

Herpes simplex cervicitis.

Herpes simplex: retroauricular

HSV - culture-confirmed. Painful vesicles on the foot.

Genital herpes - a soldier's discrete crusted vesicles grew HSV on culture

Herpes simplex virus. The presacral and gluteal areas are common locations of herpes simplex type 2 in women. This patient shows drying crusts (scabs) and erosions. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2009.

Primary herpes simplex virus infection. This infant has multiple vesicles and pustules as well as gingivostomatitis. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2009.

Herpes simplex. Chronic ulcerated lesions and scattered intact vesicles are present in a patient with AIDS. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2009.

FIG. 6.2. Eczema herpeticum. Ulcers and excoriations, as in these two cases [patient 1 (A, B), patient 2 (C)], usually characterize the eruption, although vesicles may be seen at times (D). More severe cases [patient 3 (E), patient 4 (F, G), patient 5 (H)], with generalized eruptions, require intravenous therapy with acyclovir.

FIG. 6.2. Eczema herpeticum. Ulcers and excoriations, as in these two cases [patient 1 (A, B), patient 2 (C)], usually characterize the eruption, although vesicles may be seen at times (D). More severe cases [patient 3 (E), patient 4 (F, G), patient 5 (H)], with generalized eruptions, require intravenous therapy with acyclovir.

FIG. 6.2. Eczema herpeticum. Ulcers and excoriations, as in these two cases [patient 1 (A, B), patient 2 (C)], usually characterize the eruption, although vesicles may be seen at times (D). More severe cases [patient 3 (E), patient 4 (F, G), patient 5 (H)], with generalized eruptions, require intravenous therapy with acyclovir.

Herpes cervicitis.

Orolabial herpes in a child. "Cold sore

Herpes simplex eruption on the waist of an RN - present for a few days