Herpes simplex keratitis and steroids

These viruses look identical under the microscope, and either type can infect the mouth or genitals. In the 1960's, the distinction was made that HSV-1 occurs above the waist, and HSV-2 below, but genital HSV-1 infections are increasing.

Herpes Simplex Type 1 (HSV-1) is the virus usually responsible for oral herpes or cold sores. If you receive unprotected oral sex from someone who has (HSV-1) cold sores, you can get genital herpes, or HSV-1 on your genitals.

Herpes Simplex Type 2 (HSV-2) or genital herpes is usually below the waist, but if you perform oral sex on someone who has HSV-2 genital sores, you can get HSV-2 on your face and mouth area.

HSV can also infect other parts of the body. Some other areas could be the eyes and the brain. Herpes Encephalitis is herpes in the brain. Very rare, and only affecting 2 per million, encephalitis is very dangerous and can cause a sore throat, headache, fever, vomitng, coma, and even death if left untreated.

If you have different types and either of you catches a second type, symptoms will probably be slight or non-existent. This is because the antibodies for one type will have some immediate effect on the other type as well. It is called ‘partial protection’.

  • My partner doesn’t have genital herpes so how can I have caught it? Your partner could be one of the ‘two out of three’ people with herpes simplex who have it so mildly they do not realise. So they could have sex when the virus is active. Mild symptoms can appear as a pimple, a little cut or an itchy bit of skin and yet these are very infectious. When people with these mild symptoms learn to recognise them, then they can avoid sex at these times. Another possibility is that your partner does not have herpes simplex and you caught it from a previous partner. It is possible to have a ‘first’ outbreak many years after first catching it.
  • Can I catch herpes simplex off towels, cups, or anything? No, you will not catch it off anything. The virus is caught from the skin, not from objects. It is a delicate virus and dies quickly when away from the skin where the sore is. There is more about transmission in our “Transmission” leaflet – available to members . This statement is taken from the guidelines for doctors produced by the British Association for Sexual Health and HIV.
  • Can my children catch herpes from me? Parents do not need to worry about passing on genital herpes to their children because it is caught through direct skin contact with the affected place when symptoms are present and not from hands or objects. Even sharing a bath with small children is not a problem because herpes simplex virus is not transmitted in water. (See here for pregnancy and childbirth – which is a different issue.)

    Antibodies that develop following an initial infection with a type of HSV prevents reinfection with the same virus type—a person with a history of orofacial infection caused by HSV-1 cannot contract herpes whitlow or a genital infection caused by HSV-1. [ citation needed ] In a monogamous couple, a seronegative female runs a greater than 30% per year risk of contracting an HSV infection from a seropositive male partner. [32] If an oral HSV-1 infection is contracted first, seroconversion will have occurred after 6 weeks to provide protective antibodies against a future genital HSV-1 infection. Herpes simplex is a double-stranded DNA virus . [33]

    Herpes simplex keratitis and steroids

    herpes simplex keratitis and steroids

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