HSV-2, Herpes Simplex Virus

HSV-2 in brief

• Multiplicity of symptoms and conflict points
• HSV-2 even has modality, which is rare among viruses.
• Severity of the symptoms and rapid progress of the disease.
• Involvement of the skin, genitals and mouth.
• Very similar to HSV-1

Entities	Sign / Symptoms	Diseases
Herpetic rash	Small and large Pimples/ Blisters / Vesicles Location: Face, Ears, inguinal, rectum and around the anus, axilla, Female/ Male genitals, thighs, buttocks Discharging rashes followed by crusting Hair loss as a rash scar More problems on the right Small tubercle skin cracks
Ulcers	Skin and throat, mouth and tongue, rectum, female genitalia Esophageal patchy white sores Sensation of wound inside the nose, rectum, female genitalia
Radiculopathy	Shooting pains + Tingling in limbs, knees, hips Neuralgia of the eyes, ears, throat, ears Neuralgia of the chest esp behind the sternum	Sacrum radiculopathy (sciatica)
Thrombocytopenia	Anus Bleeding Menorrhagia
Blepharitis Keratitis, Conjunctivitis esp vesicular type
Ophthalmitis Retinitis Chorioretinitis	Blurred vision Blindness	Retinal necrosis
Gingivitis Stomatitis	Mouth and tongue sores Dry mucous membranes Redness and Heat
Exudative pharyngitis Tonsillitis	Exudative secretions Dry mucous membranes Redness and heat
	Itching: Rectum, Trachea, Female / Male genital, Lower limbs and different parts of the skin
Rhinitis	Catarrh, purulent nasal discharge Nose Redness and Heat Dryness of the mucous membranes and inside the nose Dry and scurfy nostrils Pain and burning inside the nose
Esophagitis	Dysphagia Odynophagia	Esophageal pseudomembrane
Proctitis	Anorectal pain Anal burning after defecation Tenesmus, soreness Itching Anal bleeding Rectal secretions Rectal necrosis Constipation,	Hemorrhoid Fissure
Urethritis Prostatitis	Pain Discharge esp mucoid and purulent secretions Dysuria Frequent urination Cloudy urine
Salpingitis, Endometritis	Leucorrhea Uterus Inflammation /Pain Menorrhagia	Infertility
IUGR, premature baby, miscarriage
Tracheitis Bronchitis Pneumonitis Interstitial pneumonia	Short and dry coughs Dryness of the mucous membranes Voice hoarseness
Meningitis, esp aseptic meningitis	Neck stiffness Headache in the frontal area Pressure pain in occiput Headache, esp of the Pressive, Throbbing, Heaviness Agg by bending forward
Encephalitis	Irritable, Angry, Depression, Excitability Dullness, Memory loss, Confusion, Cognition impaired Insomnia Terrible dreams Psychosis: Delirium, Hallucination
Hepatitis	Loss of appetite Nausea, vomiting, Weakness and lethargy Weight loss and emaciation
Arthritis	Esp monoarticular arthritis Crackling joints Stinging pain in the knees
Cellulitis	Fingers, chest, female genitalia, face Redness and heat Touch sensitivity Edema Herpetic whitlow
Neuropathy	Bladder atony: Urination retention + Large bladder, Sphincter Atony (Enuresis) Anal atony: Atony of the anal sphincter and around the anus Male Impotence: Alteration of the bulbocavernous reflex
Sacral Radiculopathy	Weakness, feeling of heaviness and decreased muscle strength of the lower limbs Right-sided
	Transverse myelitis, neuritis: Numbness or increased touch sensitivity Back and sacrum area, around the anus

Remedies

1. MERC
2. Nit-ac
3. Hep, Ars, Nat-m, Petr, Calc, Keros
4. Thuj, Anac, Hydr, Sep, Lach, Mez, Pyrog, Sec, Syph, Canth