[Question #3111] HSV contract and pass timing

38 months ago
Would it be possible to contract HSV from a partner on a Monday and pass it to a different partner 1-3 days later? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
38 months ago
Is it possible?  Yes, it is.  Do you want to tell me more about that?

Terri
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38 months ago
Ok, but this is a doozy:
Day 1: person A (female) and person B (male) have unprotected sex
Day 2-Day 4 Person A and Person C (male) have unprotected sex
Day 6 Person C and Person D (female) have unprotected sex 
Day 7 Person D starts to feel uncomfortable/pain
Day 8 Person D is diagnosed with gential herpes (negative blood work for HSV1 & 2, conclusion is that this is a very new exposure)

Persons A and C both igg Negative for HSV2 and positive for HSV 1 (both have had cold sores in the past). 
Trying to understand where the HSV Infection  in Person D originated- did Person B infect A then A to C and C to D all in the span of a few days? If the infection was not from Person B on day 1, the last time persons A &B we’re together was ~9 weeks previous to testing. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
38 months ago
If person C has a history of cold sores as you state, perhaps the genital infection is HSV 1 - was typing done of the sample? If not, and they still have it, it should be


Terri
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38 months ago
No, there were no cultures taken, just blood work (negative for HSV1 & 2). I think Person A and Person C both need to get re-tested for Hsv2 in a few additional weeks- how long should they wait? The only person who had any symptoms was Person D. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
38 months ago
So I'm still unclear - person D has herpes symptoms but no swab test was taken to confirm this diagnosis?  Hmmm
So more than half of new genital herpes infections are due to HSV 1.  You seem to be pretty focused on HSV 2 but that may be going down the wrong path - hard to say.  Another way to discover what is going on is to retest person D down the road a few weeks and see what they have seroconverted to, if anything.  But it wouldn't hurt anything for the other people involved to test as well.

Terri
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