[Question #2221] transmission question

47 months ago
I posted questions earlier. I have had what appears to be HSV2 infection on my tongue and throat since April 28. This is a new outbreak. Is HSV2 contagious through saliva? Do I need to worry about spreading it to my children since I am living with them. Please advise. How do I prevent from spreading it to them.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
47 months ago
Casandra, HSV 2 orally would simply not be continually recurring for this long a time.  I'm not saying it isn't possible because it is possible to get HSV 2 orally, but not for this long..  Have you had a positive swab test from mouth lesions since we last talked? 

People who have HSV 2 orally recur very infrequently and shed virus on about 1% of days in the form of an oral lesion and some is without symptoms.  If you avoid kissing you children with an open mouth - i.e. a peck of a kiss, they will not become infected IF you have this which is my mind is still a big if.

Terri
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47 months ago
I went to an infectious disease specialist Friday and described the symptoms I told you. He put me on Valtrex 1 g twice daily for 10 days. He agreed he thinks it is herpes in my mouth and throat based on my symtoms. My PCR swab cultures are coming up negative for HSV1 and 2 in my mouth but he said that does not mean I don't have it. I had the blood test which I told you about may 2.  Igg HSV2  8. HSV  1 3.1. I still have sores under my tongue, on my tongue and my throat. Also my vagina. He recommended that I come back to the hospital possibly Tuesday to get admitted. I have about 10 -20 active sores, and I can feel them on my throat. In addition, my throat is constantly sore and swollen glands.  There is no question I have this, but I am most concerned about passing it to my children in daily life and how do I prevent this. My son recently has a plantars wort on his foot.  I am trying to get treatment. None of the antiviral treatments are working. He spoke of possible IV treatment.  I am so worried about passing it to my children and how do I prevent this. I do not kiss them.  
47 months ago
Is it possible to spread the virus via the fingers (i.e., if someone touches an active sore and then touches a mucous membrane). I am thinking about getting the children tested. I don't want to think the worst scenario. They do not have any active symptoms.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
47 months ago
It is absolutely essential that you do not get your children tested.  Half the positives in children are false positives and no one recommends that children have an IgG or IgM test for herpes.  I certainly hope that you can refrain from doing this.  If you rub one of your sores and then immediately rub your finger into one of your children's eyes or mouth or genitals and the sore is caused by herpes (which I do not believe for a moment), then yes, I guess transmission is possible but even then, extremely unlikely and I cannot imagine why you would do that. 
 
The fact that you are PCR negative repeatedly, that the antiviral medicines are not having an impact and that thi8s has gone on so long in your oral area strongly speak against these symptoms being HSV 2 in your mouth.  Yes, we know you have HSV 2 and HSV 1 infection by your index values but it does not follow that these particular symptoms are caused by HSV 2 in your mouth.
Plantar warts have nothing to do with herpes - not sure why you told me this` but they are unrelated. 

This is your final post on this subscription.  Any future posts will be the result of your anxiety and there is no more that any of us can say to help you here.  They will be deleted.  I'm glad you under the care of someone and I hope this gets results for you.  I know this is very scary for you but I believe you are on the wrong track for a diagnosis. 

Terri
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