Herpes Outbreak Symptoms

10 May Herpes Outbreak Symptoms

Here are herpes outbreak symptoms for different forms of the herpes virus.

Because not everyone experiences herpes outbreak symptoms, regular STD testing is important to your long-term health. If you think you might have a form of the herpes simplex virus, please seek medical attention. If you are infected with HSV, herpes treatment options exist that can help to relieve herpes symptoms as well as prevent future herpes outbreaks.

Herpes Labialis (Oral Herpes) thumbnail
Herpes Genitalis (Genital Herpes) thumbnail
Herpes Zoster (Shingles & Chicken Pox) thumbnail
Human Herpesvirus 4 (Epstein-Barr) thumbnail
Human Herpesvirus-5 (Cytomegalovirus) thumbnail
Herpes Labialis (Oral Herpes)

Herpes Labialis (Oral Herpes)

Oral herpes can either be caused by HSV 1 or HSV 2 and typically results in blisters around the mouth.

The main symptom of oral infection is inflammation of the mucosa of the cheek and gums—known as acute herpetic gingivostomatitis—which occurs within 5–10 days of infection. Other symptoms may also develop, including headache, nausea, dizziness and painful ulcers—sometimes confused with canker sores—fever, and sore throat.

Herpes Genitalis (Genital Herpes)

Herpes Genitalis (Genital Herpes)

Genital herpes is usually caused by HSV 2, but can be triggered by an HSV 1 infection as well. Genital herpes usually results in sores in and around the genital region.

When symptomatic, the typical manifestation of a primary HSV-1 or HSV-2 genital infection is clusters of genital sores consisting of inflamed papules and vesicles on the outer surface of the genitals, resembling cold sores. These usually appear 4–7 days after sexual exposure to HSV for the first time. Genital HSV-1 infection recurs at rate of about one sixth of that of genital HSV-2. In males, the lesions occur on the glans penis, shaft of the penis or other parts of the genital region, on the inner thigh, buttocks, or anus. In females, lesions appear on or near the pubis, labia, clitoris, vulva, buttocks or anus. Other common symptoms include pain, itching, and burning.

Herpes Zoster (Shingles & Chicken Pox)

Herpes Zoster (Shingles & Chicken Pox)

Herpes zoster normally results in a painful skin rash around the torso.

The earliest symptoms of herpes zoster, which include headache, fever, and malaise, are nonspecific, and may result in an incorrect diagnosis. These symptoms are commonly followed by sensations of burning pain, itching, hyperesthesia (oversensitivity), or paresthesia ("pins and needles": tingling, pricking, or numbness). In most cases after 1–2 days, but sometimes as long as 3 weeks, the initial phase is followed by the appearance of the characteristic skin rash. The pain and rash most commonly occurs on the torso, but can appear on the face, eyes or other parts of the body. Later the rash becomes vesicular, forming small blisters filled with a serous exudate, as the fever and general malaise continue. The painful vesicles eventually become cloudy or darkened as they fill with blood, crust over within seven to ten days; usually the crusts fall off and the skin heals, but sometimes, after severe blistering, scarring and discolored skin remain.

Human Herpesvirus 4 (Epstein-Barr)

Human Herpesvirus 4 (Epstein-Barr)

Epstein-Barr infections may cause symptoms similar to those of mononucleosis.

Once the virus is acquired, it takes about four to six weeks for symptoms to appear. Children usually have nonspecific symptoms or are asymptomatic. Rarely, young children may have rashes, pneumonia, or low white blood counts. Teenagers and young adults many develop symptoms of mononucleosis. Acute mononucleosis causes sore throat, fever, and swollen lymph nodes.

Human Herpesvirus-5 (Cytomegalovirus)

Human Herpesvirus-5 (Cytomegalovirus)

Cytomegalovirus often leads to symptoms similar to those of mononucleosis

An illness resembling infectious mononucleosis is the most common presentation of CMV in people with weakened immune systems (immunocompromised). CMV also can attack specific organs. Signs and symptoms may include: visual impairment and blindness, pneumonia, diarrhea, ulcers in the digestive tract, possibly causing bleeding, hepatitis, inflammation of the brain (encephalitis), behavioral changes, seizures and coma. Most people infected with CMV who are otherwise healthy experience few if any symptoms. When first infected, some adults may have symptoms similar to mononucleosis, including fatigue, fever and muscle aches.

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