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Herpes Sore Spots
A pregnant woman traveling far from home
suddenly goes into labor and is rushed to a hospital. The
obstetrician, unfamiliar with her medical history, asks her a number
of questions, including whether she's had any STD in the past. She
says she once had herpes but doesn't have it now. Luckily, the
doctor examines her cervix and vagina, for her cervix has a herpes
sore of which she was unaware. The doctor then delivers the baby by
cesarean section, to prevent the child from contacting the sore and
getting a potentially brain-damaging infection.
In the United States alone, about 40 million
people have been infected with the herpes simplex virus (HSV), and
300,000-500,000 new cases are reported each year. The virus, which
has two common strains (HSV types I and II), causes painful sores
around the mouth and on the genitals. Any touching of a herpes sore
may transmit the virus to another person or another part of one's
own body, including the eyes.
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The sores generally last two to three weeks before
going away on their own. But half the number of infected people get
recurrent outbreaks of the painful sores for many years, potentially for
the rest of their lives. Some studies have shown that herpes increases a
woman's risk for cervical cancer. There is no cure for herpes, but
expensive antiviral medicines may decrease the symptoms or shorten the
duration of the outbreaks.
If a baby is delivered during an active outbreak of
the disease, it can acquire a deadly brain infection known as meningitis.
An outbreak may be hard to detect because the lesions are often inside the
vagina or on the cervix. Babies should be delivered by cesarean section if
the mother has active herpes.
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