Herpes Genitalis

Herpes Genitalis Venereal Disease

Genital herpes is an infection caused by a virus genital Herpes Simplex Virus (HSV) with typical symptoms in the form of vesicles are grouped on the basis of recurrent erythema and nature (source CDC Fact Sheet, 2007).

Epidemiology of genital herpes

Data in a Hospital in the U.S. suggests that the very low prevalence of genital herpes in 1992 dr.jonh that only 10 cases of 9983 patients with IMS. However, the prevalence Dr.asoam rather high at 64 out of 653 cases of STIs and higher again in the hospital maruari the 22 cases of 126 cases of STIs (Judge, 2009).

Etiology and morphology of genital herpes

Herpes Simplex Virus (HSV) can be divided into 2 types by SHARLITT 1940 to HSV type 1 and HSV type 2. In serological, biological and physicochemical, they are almost indistinguishable. But according to the results of the study, HSV type 2 is the predominant type of sexually transmitted genito-genital. HSV type 1 is transmitted through it many oro-genital sexual activity or by hand (Salvaggio, 2009).

Clinical symptoms of genital herpes

Initial symptoms begin to appear on day 4-7 after infection. Early symptoms usually include itching, tingling and pain. Then will appear a small reddish spots, which is followed by a collection of small, painful blisters. These blisters burst and coalesce to form a circular wound. Wounds that are formed are usually painless and form a scab. Patients may experience pain during urination or dysuria and pain when walking will arise. Luka will improve within 10 days but can leave scars. Groin lymph nodes are usually somewhat enlarged. The initial symptom is more pain, longer and more widespread than the subsequent symptoms and may be accompanied by fever and malaise (Salvaggio, 2009).

In men, the blisters and sores may develop in any part of the penis, including the foreskin on uncircumcised penis. In women, the blisters and sores may develop on the vulva and cervix. If the patient had sexual intercourse through the anus, it may develop blisters and sores around the anus or in the rectum. In patients with immune system disorders (eg, patients with HIV infection), herpes sores can be very heavy, spread to other body parts, persist for several weeks or more and is resistant to treatment with acyclovir. The symptoms tend to recur in the same area or nearby, because the virus settled in nearby pelvic nerve and back on to re-infect the skin. HSV-2 had pengaktivan back in the pelvic nerve. HSV-1 had pengaktivan back in the facial nerves and causes fever blisters or herpes labialis. But both viruses can cause disease in both areas. Initial infection by one virus will provide partial immunity against other viruses, so the symptoms of the two viruses is not too heavy.

Examination of genital herpes

Clinical diagnosis is confirmed by the presence of symptoms typical of vesicles grouped on the basis of erythema and be recurrent. The simplest laboratory tests are tests Tzank colored with Giemsa or Wright staining which will appear multinucleated giant cells. The best way to diagnose is by tissue culture as the most sensitive and specific. However, this method requires a lot of time and expensive. Can also be carried out serological tests for HSV antigen either by imunoflouresensi, imunoperoksidase and ELISA (Aili, 2009).

Complications of genital herpes

The most feared complication is a result of the disease in newborns (Mike, 2009). Genital herpes in the first trimester of pregnancy can cause abortion or congenital malformations such as mikroensefali. In infants born to mothers with herpes found various abnormalities such as hepatitis, encephalitis, keratokonjungtifitis even stillbirth.

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