单纯疱疹病毒感染性疾病。
2.5.10 生殖器疱疹
定义
病因和发病机理
单纯疱疹病毒(通常2型, 偶尔1型)原发或继发性感染,单纯疱疹病毒为DNA 病毒,具有嗜表皮性和嗜神经性。通过直接接触病毒携带者传播。潜伏期:2至7天。
症状
红斑基础上成群水疱(疱疹样),很快破裂产生浅表性糜烂,有时无症状但伴有病毒释放。原发性病毒感染伴有淋巴结肿大,但复发性感染少见。
病程
由于病毒潜伏于区域神经节内,疾病呈慢性和复发性。
并发症
急性尿储留。孕妇生产期:新生儿单纯疱疹。
诊断
依据临床特点,Tzanck涂片和明确病毒存在:免疫荧光、PCR或培养(有时行电镜或血清学检查)。
治疗
¤ 局部治疗:收敛剂和消毒剂。
¤ 系统治疗:原发性感染或者复发性感染有疼痛性皮损者:阿昔洛韦、万乃洛韦和伐昔洛韦。
鉴别诊断
Tests
- Which of the following statements is not correct?
- Which one of the following is a potential differential diagnosis to Herpes genitalis?
- Statement 1: A primary manifestation of herpes genitalis must be treated with an oral virostatic because
- Which of the following statements are correct?
- Which is the standard treatment for uncomplicated genital herpes simplex?
- Which of these diseases must be considered in the differential diagnosis of herpes genitalis?
- True or false?
- Which of the following statements are true?
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