- Herpes simplex infection is an infectious disease caused by herpes simplex virus (HSV), which can manifest not only in the oral and genital areas but also in the eyes, skin, etc.
- HSV-1 and HSV-2 are the primary causes, and the infection sites and transmission patterns may overlap. The virus is mainly transmitted through direct contact.
- The virus can remain latent in ganglia after initial infection and may reactivate depending on immune status and various stimuli, causing recurrent lesions.
- Representative manifestations include herpes labialis around the mouth and lesions around the genitals, buttocks, and anus, which may be accompanied by blisters, pain, or itching.
- Symptoms and progression vary greatly among individuals, and asymptomatic infections also occur. The risk of severe disease may be higher in newborns and individuals with weakened immune function.
- Lesions may progress to blisters, followed by scabbing and healing; recurrences can repeat, but the frequency often decreases over time.
- Diagnosis is made within a broad framework that integrates the shape and location of the lesion, symptoms, and exposure history, utilizing molecular testing or culture testing of lesion specimens if necessary.
- Test results must be interpreted according to the timing of specimen collection, the state of the lesion, and the testing method; the possibility of infection cannot always be ruled out based on negative results alone.
- Management focuses on symptom relief, counseling to reduce the risk of transmission, assessment of recurrence patterns, and prompt medical care for severe or high-risk situations.
- Antivirals can help fight the virus and may reduce symptoms and outbreaks, but the approval, standard therapy, or effect size of specific drugs cannot be concluded based solely on the data presented here.