No abstract available.
Herpes Genitalis* ; Herpes Simplex* ; Simplexvirus*

Herpes simplex virus (HSV) is one of Herpesviridae family viruses which belong to DNA viruses. HSV-associated diseases are among the most widespread infections, affecting nearly 60% to 95% of human adults. Labial herpes typically results from infection with HSV type 1 (HSV-1), whereas most genital herpes is caused by HSV type 2 (HSV-2). They are incurable and persist during the lifetime of the host, often in latent form. Antiviral agents do not cure HSV infections, but rather modify the clinical course of the disease. Topical, oral, or intravenous antiviral agents may be used in the management of HSV infections. Acyclovir, valacyclovir hydrochloride, and famciclovir are the 3 antiviral drugs commonly used to treat symptomatic HSV infections. However, it is very difficult to choose an appropriate drug and dosing regimen.
2-Aminopurine ; Acyclovir ; Adult ; Antiviral Agents ; DNA Viruses ; Herpes Genitalis ; Herpes Simplex ; Herpesviridae ; Humans ; Methylmethacrylates ; Polystyrenes ; Simplexvirus ; Valine

BACKGROUND: Acyclovir is a highly effective antiviral agent specifically inhibiting the replication of members of the herpes virus group, in particular the has been used extensively herpes simplex virus types 1 and 2 and the varicella zoster virus. Although acyclovir it has not caused for the treatment or prevention of herpes simplex and varicella zoster virus infections, significant changes in virus sensitivity. OBJECTIVE: The purpose of this study was to evaluate the sensitivity of HSV to acyclovir. METHODS: A total of 80 strains were used 43 strains of non-genital herpes and 37 strains of genital gerpes. These were isolated from 80 patients and were studied to evaluate their sensitivities to acyclovir by the plaque reduction assay. The methods employed to monitor the sensitivity of virus isolates rely on simple dose-response experiments, looking at the effects of increasing concentrations of acyclovir on infected cell culture specimen. The assay is based on quantified plaque counting. The sensitivity of virus strains are then expressed as ID50(concentrations of drug reducing viral cytopathic effect by 50%) and MIC(minimum inhibitory concentration). RESULTS: The results were summarized as follows. 1. The ID50 values of acyclovir for HSV ranged between 0.0625 - 4.0 microgram / ml. For non-genital herpes isolates the mean and median values were 0.459 microgram / ml (SD = 0.624) and 0.250 microgram / ml ; for genital herpes isolates these values were 0.649 microgram / ml (SD = 0.746) and 0.50 microgram / ml . 2. The MIC values of acyclovir for HSV ranged between 0.250 - 32 microgram / ml . For non-genital herpes isolates the mean and median values were 2.605 microgram / ml (SD = 5.270) and 1.00 microgram / ml ; for genital herpes isolates these values were 2.716 microgram / ml (SD = 3.015) and 2.00 microgram / ml . 5. 93.75%(75 strains) of HSV isolates were within the ranges of sensitive HSV strains for acyclovir. CONCLUSION: We are concerned about the resistance of viruses to antiviral drugs, but so far, this has not been documented to be a big problem. With the increasing interest and ability to measure sensitivity of viruses to antiviral drugs we will find out more about viral resistance and its clinical significance.
Acyclovir* ; Antiviral Agents ; Cell Culture Techniques ; Cytopathogenic Effect, Viral ; Herpes Genitalis ; Herpes Simplex* ; Herpesvirus 3, Human ; Humans ; Simplexvirus*

We report a case of recurrent herpes genitalis in a 5-year-old girl which was considered to result from childhood sexual abuse. The skin lesion was an eroded erythematous macule with overlying multiple vesicles on the labia majora. We detected Herpes simplex virus DNA by using the polymerase chain reaction (PCR) in a biopsy specimen from the vesicular lesion.
Biopsy ; Child, Preschool ; Cytochrome P-450 CYP1A1 ; DNA ; Female ; Herpes Genitalis* ; Humans ; Polymerase Chain Reaction ; Sex Offenses* ; Simplexvirus ; Skin

We report a case of recurrent herpes genitalis in a 5-year-old girl which was considered to result from childhood sexual abuse. The skin lesion was an eroded erythematous macule with overlying multiple vesicles on the labia majora. We detected Herpes simplex virus DNA by using the polymerase chain reaction (PCR) in a biopsy specimen from the vesicular lesion.
Biopsy ; Child, Preschool ; Cytochrome P-450 CYP1A1 ; DNA ; Female ; Herpes Genitalis* ; Humans ; Polymerase Chain Reaction ; Sex Offenses* ; Simplexvirus ; Skin

Adult ; Burns ; etiology ; pathology ; surgery ; Electrocoagulation ; adverse effects ; Herpes Genitalis ; complications ; therapy ; Humans ; Male ; Necrosis ; Penis ; injuries ; pathology ; surgery ; Urination

OBJECTIVETo investigate the social factors of patients with genital herpes (GH) relapsing and guide GH patients to avoid the related social factors.

METHODSTo select 96 case of patients with recurrent genital herpes of final diagnosis and detailedly record the related social factors before relapsing. The social factors were compared between male and female GH patients, and compared between frequently recurrent (> 6/year) and non-frequently recurrent GH patients (< or = 6/year) too.

RESULTS65.6% (63/96) of recurrent GH patients have certain social factors before relapsing. The main social factors are overtiredness, mental stress and excessive sexual contact. Staying up late and excessive drinking are common social factors, too. There was no significant difference of social factors between male and female GH patients (P >. 05), and also no significant difference between frequently recurrent and non-frequently recurrent GH patients (P > 0.05), too.

CONCLUSIONOvertiredness, mental stress and excessive sexual are the main social elements during inducing genital herpes relapsing. It is important to reduce GH relapsing and spreading of HIV and syphilis by guiding recurrent genital herpes patients to avoid related social elements.

Adult ; Fatigue ; epidemiology ; Female ; Herpes Genitalis ; epidemiology ; etiology ; Humans ; Male ; Middle Aged ; Recurrence ; Sexual Behavior ; Stress, Psychological ; epidemiology

OBJECTIVETo investigate the epidemic trend and features of male genital herpes (GH) in Tianjin.

METHODSWe statistically analyzed the epidemiological data of the male GH patients received at the Venereal Disease Clinic of Tianjin Medical University General Hospital from 2006 to 2010.

RESULTSA total of 130 cases of male GH were reported from 2006 to 2010, ranging in age from 18 to 76 years, with 31.54% aged at 30-39 years. Most of the patients were factory workers (30.77%) and clerks (30.00%). Those with high school education accounted for 61.54%, and those with college education 32.31%. The sex partners of the patients were mostly waitresses (60%).

CONCLUSIONThe epidemic of GH has not been effectively controlled in Tianjin. New measures have to be developed targeting the changed epidemiological features of GH for better prevention and control of the disease.

Adolescent ; Adult ; Aged ; China ; epidemiology ; Herpes Genitalis ; epidemiology ; Humans ; Male ; Middle Aged ; Outpatients ; Risk Factors ; Young Adult

One-hundred-eleven herpes simplex viruses(HSV) were isolated from l09 patients who had visited the Department of Dermatology, Ophthalmology, and Gynecology of Hanyang University Hospital from 1986 through 1988, for suspected HSV lesions. The cultured viruses were classified into HSV-1 and HSV-2 by using direct and indirect immunofluorescent staining with monoclonal antibodies against HSV. In this study, HSV type 1 were predominantly involved in the HSV lesions above the waist of the patients(83.6%), and the infections caused by HSV type 2(I3.1 %) and bath HSV types(3.3%) were also noted. In contrast, the main organism of the HSV lesions below the waist were HSV-2(80.0%), and HSV-1(16.0% ) and both types(4.0%) were also involved in. The result suggested that the number of patients with HSV 1 genital herpes and/or with non-genital herpes by HSV-2 were apparently increasing. In conclusion, it is conceivable that the classification of HSV isolates might be useful for determining prognosis as well as performing epidemiologic studies of HSV infections.
Antibodies, Monoclonal ; Baths ; Classification ; Dermatology ; Epidemiologic Studies ; Gynecology ; Herpes Genitalis ; Herpes Simplex* ; Herpesvirus 1, Human ; Herpesvirus 2, Human ; Humans ; Ophthalmology ; Prognosis ; Simplexvirus*

PURPOSE: This study determined the seroprevalence of herpes virus 2 in gravidas and the differences between herpes virus 2-infected and healthy gravidas. The need to screen gravidas for herpes virus 2 was also evaluated. MATERIALS AND METHODS: A retrospective analysis involving 500 gravidas who underwent herpes virus 2 serologic testing and delivery in our hospital between January 2009 and August 2010 was performed. All patients in the study group were classified as herpes simplex virus 2 (HSV2) positive, and all cases were analyzed with respect to the clinical course of the pregnancy, pregnancy outcome, obstetric complications, and neonatal outcomes. SPSS software (version 14.0) was used for statistical analysis. A chi-square test and Student's t-test were used for statistical analysis. RESULTS: In the current study, the herpes virus 2 seroprevalence rate in gravidas was 17%. There was no significant difference in the rates of preterm delivery, premature rupture of membranes, preterm labor, and intrauterine growth restriction between the herpes virus 2-infected gravidas and the healthy control group. The rates of spontaneous abortion and sexually transmitted disease were higher in the herpes virus 2 infection group than the healthy control group. CONCLUSION: After educating gravidas on genital herpes and, if gravidas thereafter consent to herpes virus 2 screening, the risk of neonatal herpes virus 2 infections can be reduced. In addition, examination of gravidas for sexually transmitted diseases would increase as would appropriate treatment.
Adult ; Female ; Herpes Genitalis/*diagnosis/epidemiology/virology ; Herpes Simplex ; Herpesvirus 2, Human/*pathogenicity ; Humans ; Pregnancy ; Pregnancy Complications, Infectious/diagnosis/epidemiology/virology ; Retrospective Studies