TY - CHAP M1 - Book, Section TI - Chapter 309. Herpes Simplex Virus Infections A1 - Hong, David K. A1 - Prober, Charles G. A2 - Rudolph, Colin D. A2 - Rudolph, Abraham M. A2 - Lister, George E. A2 - First, Lewis R. A2 - Gershon, Anne A. PY - 2011 T2 - Rudolph's Pediatrics, 22e AB - Herpes simplex virus type 1 (HSV-1) and herpes simplex virus type 2 (HSV-2) belong to a family of DNA viruses that include cytomegalovirus (CMV), varicella-zoster virus (VZV), Epstein-Barr virus (EBV), and human herpesviruses 6, 7, and 8 (Table 309-1). Following primary infection, herpes simplex viruses establish a latent state, in general, HSV-1 in the trigeminal ganglion and HSV-2 in the sacral ganglion. From time to time, the viruses may be reactivated, resulting in recurrent infections that may or may not be associated with symptoms. HSV-1 is usually transmitted in oral secretions, whereas HSV-2 is most often transmitted through sexual activity. HSV-1 infections occur most frequently during childhood and usually affect body sites above the waist (mouth, lips, eyes, face). HSV-2 infections occur most often during adolescence and adulthood, and involve body sites below the waist (genitalia, buttocks, thighs). Historically, the majority of infections in newborns is transmitted from the maternal genital tract and is usually caused by HSV-2.1 However, because the prevalence of genital infection with HSV-1 in the United States is increasing, a greater proportion of neonatal infections may be due to HSV-1.2,3 SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=7029847 ER -