Viral Infections Key Points

• Herpes simplex virus type 1 (HSV-1) is the most common cause of oral herpes infection (80%). HSV-2 is the primary pathogen in genital herpes (70%-90%). Both can cause oral or genital lesions.

• HSV-1 and HSV-2 are characterized by a primary infection, latent periods, asymptomatic shedding, and reactivation.

• Approximately 10% to 20% of the U.S. population develop zoster, but rates are likely to decrease with VZV vaccine for children.

• Corneal involvement should be suspected when herpes zoster involves the tip of the nose and is an ophthalmologic emergency because it can lead to blindness.

• For herpes zoster, antiviral therapy (acyclovir, valacyclovir, famciclovir) should by started within 3 days of onset of symptoms to reduce disease severity and postherpetic neuralgia.

• Human papillomavirus types 6 and 11 are associated with condylomata acuminata (genital warts); HPV types 16 and 18 are associated with carcinoma. The quadrivalent HPV vaccine is active against HPV types 6, 11, 16, and 18.

• Molluscum contagiosum is a common, self-limited viral infection most often affecting children. It is considered sexually transmitted in adults.

• Lesions of molluscum usually resolve spontaneously over months to years; with or without treatment, lesions can leave pitted scars.

Soccer Fitness 101

Soccer Fitness 101

Be a star on the field in no time! Get Fit For The Soccer Field In 10 Easy Steps! With soccer season looming just around the corner it’s never too early to start getting ready. Soccer is an intense game, and it’s going to take a lot of work on your part to make sure that you’re ready to stay ahead of your competition out on that field.

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