Herpes Simplex Virus (HSV)

by Carlo Raj, MD

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    00:01 Our next topic of sexually transmitted infection would be herpes simplex virus.

    00:06 It is a DNA virus and the type that is notably affecting your genital region would be HSV-2.

    00:14 Increasing frequency.

    00:15 Lesion begins 3-7 days after sexual relation and these are vesicles.

    00:19 and these are vesicles.

    00:21 These vesicles are painful -- red papule – that progress to vesicles and ulcers, worse case scenario.

    00:27 And whenever you do have these lesions, they contain the viral particles.

    00:31 The problem is this, it's the fact that whenever you have a pregnant lady, and she has a herpetic infection.

    00:39 There's every possibility that when she's shedding, that she might be able to transmit some of this infection to the newborn.

    00:46 Cervical or vaginal involvement causes severe leukorrhea and genital discharge.

    00:51 Now, we have two – two – conditions in which you would expect the find leukorrhea.

    00:57 Herpes and candida.

    00:58 However, the organisms, completely different as would be the presentation as well.

    01:04 The herpes simplex, it heals in about two to three weeks, but latent infection resides within the nerve ganglion as you would expect with most any type of herpes virus.

    01:15 Grave consequences and once again, the TORCH, vertical transmission, to the point where -- please look for a child -- if the child, the newborn, develops herpes, oftentimes, it will be the frontotemporal region of the brain that the child is then experiencing issues.

    About the Lecture

    The lecture Herpes Simplex Virus (HSV) by Carlo Raj, MD is from the course Sexually Transmitted Diseases (STDs).

    Included Quiz Questions

    1. HSV 2
    2. HPV 6
    3. HPV 16
    4. Chlamydia trachomatis
    5. Treponema pallidum
    1. Herpes encephalitis
    2. Oral herpes leading to difficulty in feeding
    3. Genital herpes leading to difficulty in voiding urine
    4. Hyperbilirubinemia leading to kernicterus
    5. Herpes zoster
    1. White patches in the vulvovaginal area in Candida infection vs. multiple red vesicles in herpes infection
    2. Fungating ulcerated masses in herpes infection vs. small, white, fluid-filled swellings in Candida infection
    3. Multiple small ulcers in Candida infection vs. a white membrane covering the vaginal epithelium in herpes infection
    4. A single small, flat, erythematous area in herpes infection vs. multiple red patches in Candida infection
    5. There is no difference in physical appearance, so they can be differentiated only by using different histochemical stains on biopsy specimen

    Author of lecture Herpes Simplex Virus (HSV)

     Carlo Raj, MD

    Carlo Raj, MD

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