00:01
Our next topic of sexually
transmitted infection
would be herpes simplex virus.
00:06
It is a DNA virus
and the type that is notably affecting
your genital region would be HSV-2.
00:13
Both HSV-1 and 2 cause genital herpes in men and women.
00:17
Historically, HSV-2 was more associated with genital herpes,
however in hte 21st century, both viruses cause genital herpes,
and the proportion of newly diagnosed HSV-1 genital infections
has increased significantly in the last 20 years.
00:33
Lesion begins 2-12 days after sexual
relation and these are vesicles.
00:38
These vesicles are
painful -- red papule –
that progress to pustules, erosions and
ulcers, worse case scenario.
00:44
And whenever you do
have these lesions,
they contain the
viral particles.
00:49
The problem is this,
it's the fact that whenever
you have a pregnant lady,
and she has a
herpetic infection.
00:56
There's every possibility
that when she's shedding,
that she might be able to transmit
some of this infection to the newborn.
01:04
Cervical or vaginal involvement
causes severe leukorrhea
and genital discharge.
01:09
Now, we have two – two –
conditions in which you would
expect the find leukorrhea.
01:15
Herpes and candida.
01:15
However, the organisms,
completely different
as would be the
presentation as well.
01:22
The herpes simplex, it heals
in about two to three weeks,
but latent infection resides
within the nerve ganglion
as you would expect with most
any type of herpes virus.
01:33
Grave consequences
and once again,
the TORCH, vertical
transmission,
to the point where --
please look for a child --
if the child, the
newborn, develops herpes encephalitis,
oftentimes, it will be the
frontotemporal region of the brain
that the child is then
experiencing issues.