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Related Concept Videos

Herpes01:28

Herpes

Herpes simplex type 1 (HSV‑1) is a widespread pathogen responsible for orolabial lesions. It is an enveloped, double-stranded DNA (dsDNA) virus belonging to the family Herpesviridae. Once the virus infects a host cell, its double‑stranded DNA genome is delivered into the nucleus, where a coordinated cascade of immediate‑early, early, and late gene expression directs viral DNA replication, structural protein synthesis, and virion assembly. After primary infection of epithelial cells, HSV-1...
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Genital herpes is a sexually transmitted infection primarily caused by herpes simplex virus type 2 (HSV-2), though herpes simplex virus type 1 (HSV-1) is increasingly implicated in genital infections, particularly among younger populations. Transmission occurs mainly through sexual contact, with asymptomatic viral shedding serving as a major route of spread. This characteristic makes HSV-2 difficult to control at a population level, as individuals may unknowingly transmit the virus even in the...
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Chickenpox is an acute, highly contagious disease caused by the varicella-zoster virus (VZV), a double-stranded DNA virus belonging to the Herpesviridae family. Its transmission occurs primarily through the inhalation of respiratory droplets or direct contact with vesicular fluid from skin lesions. The incubation period typically ranges from 10 to 21 days, during which the virus replicates and disseminates through sequential phases within the host. Although generally self-limiting in children,...
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Rabies is a lethal zoonotic disease caused by a single-stranded, negative-sense RNA virus of the Lyssavirus genus, within the family Rhabdoviridae. Its primary mode of transmission to humans is through bites or saliva-contaminated scratches from infected mammals such as dogs, bats, raccoons, or foxes. Transmission can also occur if infectious saliva contacts abraded skin or intact mucous membranes, including the conjunctiva.Viral Entry and Early ReplicationOnce introduced at the bite or scratch...
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Smallpox is a severe contagious disease caused by the Variola major virus, a double-stranded DNA member of the Poxviridae family.Variola major transmission occurs primarily via inhalation of virus-laden droplets or direct contact with infectious scabs. The incubation period averages approximately seven days, although it may range from 7 to 17 days depending on the inoculum and host factors.Clinically, the prodromal phase is marked by an abrupt onset of high fever, malaise, headache, and myalgia.
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Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...

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Detection of the Genome and Transcripts of a Persistent DNA Virus in Neuronal Tissues by Fluorescent In situ Hybridization Combined with Immunostaining
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Herpes labialis.

Graham Worrall1

  • 1Memorial University of Newfoundland, Newfoundland, Canada.

BMJ Clinical Evidence
|July 6, 2011
PubMed
Summary
This summary is machine-generated.

This systematic review examines antiviral treatments for herpes labialis (cold sores). It assesses oral and topical antivirals, sunscreen, and zinc oxide for effectiveness and safety in treating and preventing cold sores.

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Area of Science:

  • Virology
  • Dermatology
  • Evidence-based Medicine

Background:

  • Herpes simplex virus type 1 (HSV-1) causes common, self-limiting oral blistering (herpes labialis or cold sores).
  • HSV-1 establishes latency in the trigeminal ganglion, with recurrences triggered by light, stress, or fatigue.
  • 20-40% of adults experience cold sores at some point.

Purpose of the Study:

  • To systematically review the effectiveness of antiviral treatments for the first attack of herpes labialis.
  • To evaluate interventions for preventing recurrent herpes labialis.
  • To assess treatments for recurrent herpes labialis.

Main Methods:

  • Systematic review of 27 studies including systematic reviews, randomized controlled trials (RCTs), and observational studies.
  • Searched major databases (Medline, Embase, Cochrane Library) up to February 2009.
  • Included harms alerts from regulatory agencies (FDA, MHRA).

Main Results:

  • The review synthesized evidence on various interventions for herpes labialis.
  • GRADE evaluation was used to assess the quality of evidence for different treatments.
  • Identified interventions included oral antiviral agents, sunscreen, topical anesthetics, topical antiviral agents, and zinc oxide cream.

Conclusions:

  • Information on the effectiveness and safety of multiple interventions for herpes labialis is presented.
  • The review covers oral and topical antiviral agents, sunscreen, topical anesthetics, and zinc oxide cream.
  • This systematic review provides evidence-based insights into managing cold sores.