There are two types of herpes simplex virus:
- Type I – usually causes oral lesions, but can also cause genital lesions if transferred from coldsores.
- Type II – sexually transmitted, can cause genital lesions
- In contrast to HPV, will cause ulcerated, painful lesions
- May co-exist with urinary retention
Course of the disease
You can never eradicate the infection completely.
- Usually the first attack is the longest and most severe
- Subsequent attacks may be interpreted with prodromal symptoms such as:
- Tingling / soresness at the site of a subsequent ulcer.
Managing acute attack
Aciclovir – can be topical or oral. Shortens duration of symptoms.
- If given in the presence of prodromal symptoms, can prevent a full blown attack.
- Dose – e.g. 400mg 4x day for 5 days. Consider longer treatment if symptoms have not yet resolved
- Often, acyclovir cream can be prescribed for patients inbetween attacks, to be used as soon a symptoms of an attack develop.