If you have a strictly genital infection, then you cannot transmit it orally. It causes small, painful, fluid-filled blisters. Herpes zoster is a common presentation in both the community and emergency department; however segmental zoster paresis is a rare complication that can lead to misdiagnosis. Six days postoperatively she developed fever, vomiting and rapid decline in mental status. This is not the same as herpes simplex, which causes cold sores. If you are infected with the herpes virus for the first time during pregnancy, there are medications you can take to reduce how severe the symptoms are and how long they last. While rare, herpes simplex or herpes zoster reactivation is a complication of spine surgery that must be considered in the face of new-onset focal neurological symptoms in a dermatome pattern without a structural cause, even without a rash.
Three subsequent admissions to neurological intensive care unit were required for deterioration in mental status, including pneumonia, hydrocephalus and deep vein thromboses. The rash may involve the face, eyes, mouth, and ears. Especially in immunocompromised patients, a zosterradiculitis should be included in the differential diagnosis of radiculopathy. Acyclovir is effective therapy against HSV, though outcomes may be poor even in optimally treated cases. Empiric treatment must be started even in the absence of serologic evidence of HSV infection if suspicion for HSE is high.