Herpes simplex infections : symptoms, management, Complications

Herpes simplex infections:

It is also known as cold sores of fever blister. The herpes simplex virus (Type I) is a DNA virus most often associated with lips and oral lesions (herpes labialise) (General herpes is usually caused by herpes simplex virus type 2.).

Etiology:

Herpes virus infections appear often in association with other fibrils infections, such as streptococcal pneumonia, meningococal meningitis, and malaria. The virus remains latent in cells of the lips or nose and is activated by febrile illness.

Signs and symptoms:

Prodromal period: Tingling, soreness, burning sensation or swelling in area where lesion will develop.

i)       Small vesicles appear, frequently in the lips or adjacent skin.

ii)    Vesicle.

Management:

A.Medical Treatment:

Acyclovin(Zovirax) may be useful for immuno comprised patients.

Topical anesthetic, lidocaine (xlylocaine), ordyclonine (Dyclonine) may provide relief of painful lesions.

Application of drying lotions/ liquids may help dry lesion.

B.  Nursing management:

Advise adequate rest and  nutrition and  prevention  of sunburn and illness to prevent outbreak.

Advise patient that virus is transmitted through close contact, so avoid kissing and sharing food and utensils during out breaks.

Recommended good hand washing and hygiene to prevent spread.