最近审阅: 4 十一月 2020
最近更新: 01 十一月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 排尿困难(女性)
  • 淋巴结肿大
  • 生殖器溃疡
  • 口腔溃疡
  • 发热

其他诊断因素

  • 刺痛感
  • 头痛/无菌性脑膜炎

危险因素

  • HIV 感染(临床疾病的危险因素)
  • 免疫抑制剂类药物(临床疾病的危险因素)
  • 女性(血清阳性的危险因素)
  • 黑人人种(血清阳性的危险因素)
  • 年龄增长(血清阳性的危险因素)
  • 高危性行为(血清阳性的危险因素)
  • 不使用避孕套(血清阳性的危险因素)

诊断性检查

首要检查

  • 病毒培养
  • HSV 聚合酶链反应 (PCR)
  • 基于糖蛋白 G 的类型特异性血清学(gG1 和 gG2)
更多 首要检查

治疗流程

撰稿人

Attending Physician

Division of Hospital Medicine

MedStar Georgetown University Hospital

Washington

DC

利益声明

BDL declares that he has no competing interests.

Dr Benjamin D. Lorenz would like to gratefully acknowledge Dr Christine Johnson and Dr Anna Wald, previous contributors to this topic.

利益声明

CJ reports funding from AiCuris; grants from Agenus, Gilead, Genocea, Sanofi, and Vical to conduct clinical research studies; and royalties from Up To Date. AW reports grants from Agenus, Gilead, Genocea, Sanofi, and Vical to conduct clinical research studies. AW receives royalties from Up To Date. AW is an NIH grant recipient (NIH AI30731 and AI071113) and a consultant for Aicuris, Eisai, and Amgen.

同行评议者展开全部内容

Associate Professor

Department of Surgical, Oncological and Oral Sciences

School of Dentistry

University of Palermo

Palermo

Italy

利益声明

GP declares that he has no competing interests.

Professor of Medicine

University of North Carolina at Chapel Hill

Chapel Hill

NC

利益声明

PL declares that he has no competing interests.

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