Herpes Simplex

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Causes

• Herpes simplex virus (HSV)
• Primary infection usually occurs 2–12 days after introduction of infectious secretions into the oral cavity (Type 1) or genital area (Type 2)

Signs and symptoms

Type 1

• Located on the mouth and lips
• Cluster of small painful vesicles, which could be single or multiple
• Vesicles begin on the buccal or gingival mucosa or tongue
• Vesicles rupture leaving ulcers
• Painful oral lesions and foul breath
• Fever

Type 2

• Located on the buttocks, perineum, scrotum, vulva, and penis, and rarely in the rectum
• Tender vesicular lesions in the genital area
• Vesicles ulcerate and are covered with greyish-white exudates

Referral

• Refer to HIV clinic