Lecture 13 - 3/22/10 Genital
Herpes/
HSV2 
 • ...

Info iconThis preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: 3/22/10 Genital
Herpes/
HSV2 
 •  •  •  •  •  Symptoms
 Diagnosis
 Epidemiology
 Treatment
 Preven;on
 •  Sores
2
to
20
days
a@er
contact
up
to
21
days
 •  can
be
so
mild
it
goes
unno;ced
 •  may
take
longer
or
be
less
severe
in
some
people
 –  
par;al
immunity
to
the
virus
from
having
facial
 herpes,
e.g.
cold
sores.
 Ini;al
Contact
symptoms 
 •  in
the
first
aJack
some;mes
causes
visible
sores
 •  last
between
10
‐
21
days
 •  •  •  •  •  •  •  •  usually
painful
and
may
itch,
burn
or
;ngle
 swollen
lymph
glands


 inflamed
blisters
develop
around
infected
area

 Headache
/
muscle
ache

 fever



 vaginal
or
penis
discharge

 a
burning
sensa;on
in
the
genitals

 Bumps
that
develop
painful
blisters,
which
crust
 over,
form
a
scab,
and
heal.
 Symptoms 
 Recurrence 
 •  80%
of
persons
having
a
first

 



episode
caused
by
HSV‐2
will
have

 



at
least
one
recurrence
 •  50%
of
persons
with
HSV‐1
will
experience
a
 recurrence

 •  The
most
common
scenario
is
occasional
 recurrences
(about
4
aJacks
per
year)
Usually,
 the
first
year
has
the
most
viral
ac;vity
 Causes 
 •  •  •  •  •  •  •  •  Virus
shedding,
skin
contact
 menstrua;on

 drinking
a
lot
of
alcohol

 exposure
of
the
area
to
strong
sunlight

 condi;ons
that
compromise
a
person's
immune
system

 prolonged
periods
of
stress

 ultraviolet
light

 fric;on
or
damage
to
the
skin,
caused
by,
for
example,
 sexual
intercourse,
may
also
lead
to
a
recurrence

 1 3/22/10 Treatment 
 •  Non‐steroidal
an;‐inflammatory
drugs
may
be
 used
to
treat
this
condi;on.

 •  Vaccines
in
trial
 •  Diet
 •  Stress
reduc;on
 Epidemiology 
 •  1
in
every
4
people
who
are
sexually
ac;ve
 •  high
rates
of
infec;on
occur
between
the
ages
 of
15‐40
years
 •  Similar
rates
throughout
the
world
 Preven;on 
 •  •  •  •  Abs;nence
 Latex
condoms
 Lubricant
 Foams/Spermicides
do
NOT
offer
protec;on
 HPV:
 
 Human
Papillomavirus 
 •  •  •  •  Symptoms
 Diagnosis
 Epidemiology
 Treatment
 •  Most
do
not
develop
 symptoms
 •  Itching,
discharge
 •  Genital
Warts
 •  Cervical
Cancer
 •  Also
linked
to
vulva,
 vagina,
penis,
anus,
 and
head
and
neck
 cancers
 Symptoms 
 •  •  •  •  Diagnosis 
 Abnormal
PAP
smear
 biopsy
 DNA
tes;ng
 small,
fleshy,
raised
bumps,
but
they
 some;mes
can
be
extensive
and
have
a
 cauliflower‐like
appearance
 2 3/22/10 Epidemiology 
 Epidemiology 
 •  50%
sexually
ac;ve
people
 •  90%
‐99%
of
all
cervical
cancers
 •  1‐5%
of
women
infected
with
HPV
will
get
 cancer
 •  1‐15%
of
infected
people
with
HPV
will
get
 genital
wart
 Treatment 
 •  Remove
lesions
(excision,
laser,
freezing,
acid)
 •  5%
cream
of
imiquimod
(Aldara)

 •  Interferon
therapy

 Preven;on •  Vaccina;on
 •  Abs;nence
 •  Condom
use
 
 3 ...
View Full Document

Ask a homework question - tutors are online