[Question #5119] Recent HSV2 Diagnosis

24 months ago

In December and January I had unprotected oral and vaginal sex with three partners. I visited an urgent care February 6th. I tested positive for chlamydia and HSV2. (I was both IGG and IGM positive). I was treated for chlamydia with a one time dose of antibiotics and given a round of antivirals for the HSV2 even though the doctor saw no lesions on my genitals or cold sores. February 14th, I followed up with my PCP who did a Pap smear and took cultures for chlamydia. The pap came back normal and she didn’t see any lesions on my genitals either. However, my cultures came back positive for chlamydia- so I was treated again with a 10 day round of antibiotics. 


In the beginning of March. I had just finished the second round of antibiotics and had finished the antivirals about 2 weeks prior. I began to notice a thick yellow coating on my tongue and large bumps on the back of my tongue. I brushed vigorously and gargled with peroxide- it then became a thinner white spotty coating on my tongue and the bumps remained. 


Last week my son got strep throat from daycare. Of course, I got it too. Then I started to notice bumps around the back of my mouth and in my upper cheeks. Then just before my period, a dry patch on my top lip appeared. Neither the bumps nor the dry patch itch, hurt, or burn. So today I returned to urgent care and then my pcp, who both said it did not appear to be an oral HSV2 outbreak because I was not in pain and showed no sign of a cold sore, but couldn’t tell me what exactly the bumps/dry patch could be caused by. I did test positive for strep and started penicillin. 


Are the coated tongue and painless bumps signs of an outbreak? Or could this be due to being on heavy antibiotics? Or strep throat? Is it possible that I am in the early stages of an oral outbreak that just is being overlooked? Or could I only have Genital HSV2, even though I definitely performed oral sex on all of the partners who could have given HSV2? I just want to know if I have oral herpes because I have a very affectionate and touchy 1 year old who I’m terrified of infecting. 

24 months ago
Hello, 

I’m hoping my question was not too lengthy or convoluted. I am now also experiencing some eye discomfort and a small pink spot on the white of my eye- closest to the inner corner. I would like any help or advice. Please. 
24 months ago
Was this a scam? I really need help. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
24 months ago
No, this is not a scam.  We allow 48 hours for answering new questions.  Sorry you had to wait.
A few issues - first, a test of cure for chlamydia should not be done sooner than 6 weeks after the first treatment as there can be dead organisms around that will make the test look positive as it is looking for bacterial DNA material.  Too bad that yours was done so soon
A coated tongue and enlarged taste buds are not a sign of a herpes outbreak, but could be related to antibiotic use.  It is important that you  obtain the index value of the herpes test - it is a number associated with a positive result.  Sometimes if the number is between 1.1 and 3.5, it can be a false positive so you would need a confirmatory test.  So check on that. 
If your herpes test result is above 3.5 for HSV 2, this indicates that you AT LEAST have this infection genitally, but it is possible you have it orally, though with no lesions to test, that can't be determined.  I wouldn't worry at all about your child touching your face.  If you develop a cold sore, you should avoid kissing him/her when it is present.
If you have a concern about your eye, you should have that evaluated by a professional

Terri
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24 months ago
Thank you so much for the response. I was retested for HSV1 and 2 a week ago. The results have come back HSV1 negative and HSV2 positive(my result was 8). In these past days I’ve followed up with a doctor about my eye and again about the bumps in my mouth. My eye appears to be allergies according to the physician- not herpes. He also said that the spots in my mouth could be canker sores(the ones inside my cheeks- not the ones on my tongue). But I am not convinced. I still think this may be oral HSV2. Although, I don’t have a cold sore and the bumps do not hurt. I think I am having a mild ob due to the stress of strep throat and menstruation. I know for a fact that I am having vaginal tingling and itching, so I am sure that my HSV2 is currently active genitally. 

I also have been reading stories of others who say they suffered from high fever, sore throat, white/yellow coated tonsils, and fatigue (but no cold sore) during their first oral HSV2 outbreak. I had these exact symptoms back in December a few weeks after the first unprotected oral encounter. During that time, every physician I saw tested me for strep which was negative and couldn’t pin point a cause for my symptoms. (This was before I was tested for HSV at all) So I was given antibiotics that didn’t really seem to help, and instead just rode it out in misery for about two weeks. Toward the end of this time, my vagina became very irritated and I had lots of watery discharge. 

I think this past event sounds like my first HSV2 oral and genital outbreak. I just didn’t know what it was yet. What do you think? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
24 months ago
While it is possible that you had an oral outbreak of HSV 2, you lacked the most common and important element which is sores.  No, not every single person gets sores when they get oral herpes, but the vast majority do.  The only way you can know if you have oral infection is to have an oral symptom and then get it swab tested for herpes.  There is just no other way to know, I'm afraid.  An antibody test can only tell you that you are infected, not where, and an 8 result is certainly positive and does not need confirmation

Terri
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24 months ago

Thank you again! One last thing, I noticed a dry patch on my lip last week. Like super, dry and flaky. I did a sugar scrub a few days in a row and slathered down with Carmex/coconut oil. But my lips were still super dry. On Monday I felt like I might have been feeling a little itch- like it was very light itch around my mouth and nose. So I ran and picked up some Abreva. The spot was still dry and slightly red. So I applied it over and over up until last night when I figured I wasn’t actually getting a cold sore because nothing had happened. Just now I looked in the mirror and noticed the dry spot now looked a little raised. So I applied the Abreva again. 


Does this sound like a cold sore? I thought they normally are pretty uncomfortable and form very quickly. 


Oh, I also licked my thumb and wiped my sons nose last week. Would that put him at risk? It was total reflex and I instantly regretted it. 

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
24 months ago
I don't feel that licking your thumb and wiping your son's nose puts him at risk of getting a cold sore.  Some cold sores start to form and then stop.   That's called an aborted cold sore.  This could be what's happening with you but difficult to say for sure, especially if it doesn't go any further than it has so far.
Thanks for using the ASHA website for accurate herpes information.

Terri Warren
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