Characteristic vesicular rash primarily located in oral and genital regions caused by infection with HSV-1 and HSV-2
Historically, HSV-1 and HSV-2 caused infection in different areas...
Many patients are unaware of a known exposure.
Prodrome of fatigue, low-grade fever, itching, tingling, for several days prior to primary outbreak
Prodrome of pain, burning, tingling, a...
Symptom management while lesions heal
Cool dressings moistened with aluminum acetate solution
For genital lesions: Pour a cup of warm water over genitals or sit in a warm bath ...
Follow-up not usually necessary. Lesions and symptoms resolve within 10 days. Extensive cases should be rechecked in 1 week; monitor for secondary bacterial infec...
Herpes, Genital
Algorithm: Genital Ulcers
B00 Herpesviral [herpes simplex] infections
B00.0 Eczema herpeticum
B00.1 Herpesviral vesicular dermatitis
B00.2 Herpesviral gingivostomatitis and pharyngotonsillitis
B00.3 Herpesviral meningit...
25–30% of the U.S. population has serologic evidence of genital herpes (HSV-2), and >80% is seropositive for HSV-1.
Most individuals are unaware they are infected, allowing for asymp...
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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 asymptoma...
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.
Herpes simplex virus. The presacral and gluteal areas are common locations of herpes simplex type 2 in women. This patient shows drying cru...
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.
Primary herpes simplex virus infection. This infant has multiple vesicles and pustules as well as gingivostomatitis. From Goodheart HP. Goo...
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.
Herpes simplex. Chronic ulcerated lesions and scattered intact vesicles are present in a patient with AIDS. From Goodheart HP. Goodheart's ...
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 eru...
Herpes cervicitis.
Orolabial herpes in a child. "Cold sore
Herpes simplex eruption on the waist of an RN - present for a few days