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Another strain, HSV-2 usually causes genital herpes, although the strains are very similar and either can cause herpes in any location. While the disease is commonly passed through normal human contact, it is strongly associated with contact sports — outbreaks in sporting clubs being relatively common. [ 2 ]
About 88% of patients treated with valaciclovir had no recognized signs or symptoms versus 77% for placebo. [8] For Herpes simplex virus 2, subclinical shedding may account for most of the transmission. [7] Studies on discordant partners (one infected, one not) show that the transmission rate is approximately 5 per 10,000 sexual contacts. [9]
Prior HSV-1 seroconversion seems to reduce the symptoms of a later HSV-2 infection, although HSV-2 can still be contracted. Many people infected with HSV-2 display no physical symptoms—individuals with no symptoms are described as asymptomatic or as having subclinical herpes. [17] However, infection with herpes can be fatal. [18]
Herpes simplex virus 1 and 2 (HSV-1 and HSV-2) are two members of the human Herpesviridae family, a set of viruses that produce viral infections in the majority of humans. [1] [2] Both HSV-1 and HSV-2 are very common and contagious. They can be spread when an infected person begins shedding the virus.
The risk of transmission to the newborn is 30–57% in cases where the mother acquired a primary infection in the third trimester of pregnancy. Risk of transmission by a mother with existing antibodies for both HSV-1 and HSV-2 has a much lower (1–3%) transmission rate.
Genital herpes may be diagnosed through a physical examination by a doctor or through a herpes simplex virus (HSV) test by sampling fluid within a genital blister or blood for HSV antibodies. [17] Herpes simplex virus testing is recommended for those who have symptoms of herpes or who have a sexual partner who has a herpes infection. [ 8 ]