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Herpes internal organs # 8212; symptoms, manifestation and consequences

Herpes is a viral infection. which is caused by one of eight pathogenic for the human body types. Usually this infection affects the skin and mucous membranes. However, sometimes in modern medicine there are more severe cases of the manifestation of the disease - herpes internal organs.

This form of the disease is not so common as herpes genitalia or on the lips. Often, the internal inflammatory process provokes cytomegalovirus - a herpes infection of type 5.

Internal herpes

Herpes of internal organs develops as a result of viremia. Symptoms of the disease inside the body are very diverse, they depend on the damage to the relevant body or system. Most often the disease is characterized by multiple organ failure. But the maximum spread was 3 forms of the disease:

  • herpetic hepatitis;
  • herpetic pneumonia;
  • herpetic esophagitis.

Symptoms of herpes infection of internal organs are caused by the appearance of herpetic formations in the larynx, bladd

er, trachea, urethra, on the walls of the vagina. For the defeat of these internal organs, HSV 1 and 2 types respond, and herpetic hepatitis, pneumonia. Esophagitis provokes directly HSV type 5.

Symptoms of herpes in the esophagus

Herpetic esophagitis manifests as an inflammatory process on the mucosa of the esophagus. It arises from the direct spread of the virus from the pharynx to the esophagus or as a complication due to the reactivation of herpes infection, when the virus reaches the mucosa along the vagus nerve. The predominant symptoms are:

  • pain behind the sternum;
  • painful sensations when swallowing;
  • the ingestion of food is directly impaired;
  • weight loss.

During the endoscopic examination, the doctor reveals a large number of ovoid ulcers with a hyperemic bottom on the mucosa, some of them covered with fibrinous films. Without appropriate therapy, they can provoke loosening of the mucosa.

Herpes mainly affects only the upper parts of the esophagus. However, in very severe forms, characteristic herpes changes can occur on the walls of the intestine, and then the esophagus mucosa can be completely affected.

Endoscopic and X-ray examination does not provide an opportunity to distinguish herpetic esophagitis from inflammation, provoked by caustic chemical elements, candidiasis. radiation or thermal injury. But the cytological and virological analysis of the material, which is obtained with esophagoscopy, makes it possible to diagnose the disease.

Some observations allow us to assume that the systemic use of antiviral chemotherapeutic drugs can lead to a weakening of the symptoms of herpetic esophagitis.

Symptomatic of herpes in the lungs

Herpetic pneumonia is rare. Disease is observed most often in people with weakened immunity. Herpetic pneumonia within the body is accompanied by the following symptoms:

  • cough;
  • heat;
  • dyspnea;
  • painful sensations in the sternum;
  • general weakness.

In general, the symptomatology of the disease is fuzzy, since the disease often goes against the background of other bacterial, fungal, protozoal infections of respiratory organs. Herpetic pneumonia, which appears in the transition of herpetic tracheobronchitis to the parenchyma of the lungs, has the form of necrotic bronchopneumonia.

In the case of hematogenous dissemination of herpes infection in patients with genital herpes, bilateral herpetic pneumonia appears on the face and oral cavity. In people with weak immunity without antiviral treatment, lethal cases exceed 80%. Simple herpes is diagnosed with ARDS, but its significance in the pathogenesis of this condition is not clear.

Symptoms of herpes simplex

Herpetic hepatitis is very rarely seen in people with normal immunity. According to clinical symptoms, it is similar to other types of hepatitis. The most characteristic symptom of the disease is jaundice, which is accompanied by yellowing of the skin due to the high activity of bilirubin. In the beginning of the disease the following symptoms are manifested:

  • increased temperature;
  • rapid increase in bilirubin concentration;
  • weakness;
  • migraine;
  • general malaise;
  • sometimes DIC-syndrome.

The liver envelope increases, as a result, painful sensations appear in the right hypochondrium, giving to the scapula and shoulder.

Other manifestations of internal herpes

There are other complications of herpes infection - herpetic monoarthritis, glomerulonephritis, idiopathic thrombocytopenic purpura, necrosis of the adrenal glands.

The spread of herpes with good immunity is observed infrequently. In people with weak immune system, exhausted, burned, infection inside the body can affect the adrenal glands, pancreas, bone marrow, small and large intestine.

During pregnancy, hematogenous dissemination of herpes infection with the initial manifestation of herpes sometimes ends with the death of the child and mother. However, this is rare enough, mainly when the virus is infected in the last trimester of pregnancy.

Of all those infected with herpes simplex viruses, infants are at greatest risk of becoming infected with type 5 herpes. In newborns, the disease can affect the internal organs and the central nervous system. The latter can happen if the newborn is not given appropriate treatment.

Symptoms of generalized herpes can lead to death in 65% of cases. Only about 10% of babies with CNS lesions develop and grow without abnormalities. Although herpetic eruptions are the most common sign of herpes, in most newborns the skin is affected only in later stages of the disease.

If internal herpes infection is detected, the real cause of the disease can sometimes be managed only after a proper examination and delivery of the necessary analyzes of PCR and ELISA. PCR is aimed at detecting the pathogen directly in the blood, and ELISA for the detection of antibodies.

In the latent course of the disease, PCR may not detect the molecules of the virus, nevertheless the first relapse will cause the formation of antibodies to infection, which will always be within the human organism.

It is important!

Features of herpes internal organs

Herpetic infection of the internal organs is much less common than the same "fever on the lips" or genital herpes. Most often, internal inflammation causes cytomegalovirus - a virus of herpes simplex type 5. Symptoms of internal herpes are associated with the appearance of herpetic lesions on the internal organs - the trachea, the larynx, the urethra, the bladder, the walls of the vagina. And if HSV 1 and 2 types remain responsible for the defeat of the above-described organs, then herpetic esophagitis, pneumonia and hepatitis causes precisely HSV type 5.


Symptoms of internal herpes are extremely diverse and entirely dependent on the defeat of a particular organ or system. Three forms of internal herpes were most widely spread: herpetic hepatitis, esophagitis and pneumonia.

With herpetic esophagitis, the inner lining of the esophagus becomes inflamed. In this case, the patient feels pain when swallowing, the very process of ingestion of food is disturbed. Additional symptoms are associated with pain behind the breastbone on a background of weight loss. When examined through an endoscope, the doctor discovers multiple areas of erosion, which, without proper treatment, can lead to loosening of the esophageal mucosa. In most cases, the herpes affects only the upper parts of the esophagus, but if the disease has gone too far, then the changes characteristic of herpes can appear on the walls of the intestine.

With pneumonia of a herpetic origin, symptoms such as fever, cough, and dyspnea occur, although this form of the disease occurs, as a rule, in weakened people. The patient feels chest pain and general malaise, in the late stages it becomes difficult for him to breathe. In general, the symptomatology of the ailment is smeared, since the disease often occurs against the background of other bacterial, fungal and protozoal infections of the respiratory system.

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Herpetic hepatitis is accompanied by a decreased immune status. In its clinical manifestations, it is very similar to other types of hepatitis. The most characteristic symptom of the disease is zheltuha, accompanied by yellowing of the skin due to increased activity of bilirubin. At the initial stage of the disease, body temperature rises, general malaise, headache, weakness. The liver lining stretches, which provokes pain in the right hypochondrium, irrigation in the shoulder or shoulder blade.

When the internal organs are damaged, the true cause of the disease can sometimes be detected only after an appropriate examination and the delivery of special analyzes-PCR and ELISA. The first is aimed at detecting the pathogen in the blood, and the second one is the antibodies to it. In the latent stage PCR can not only detect the presence of molecules of the virus, but the first relapse will provoke the appearance of antibodies to the virus, which will remain in the body forever.

Herpes newborns

Of all infected herpes viruses in groups of patients, newborns are at greatest risk of contracting type 5 herpes. In this case, the disease can affect both the internal organs and the central nervous system. The latter is possible, in case the child does not receive the necessary treatment. Symptoms of generalized infection can lead to a lethal outcome in 65% of cases. And only less than 10% of newborns with CNS involvement grow and develop normally. Despite the fact that herpetic rash is the most frequent sign of infection, in many newborns the skin is affected only in the late stages of the disease.

In 70% of cases, symptoms of HSV type 2 occur in infants after childbirth. This refers to the situation when the child was passing through the infected birth canal. Infection with HSV type 1 occurs during the postnatal period, during contact with sick family members. In both cases, the risk of complications affecting the central nervous system is high.


Herpetic infection of the internal organs is treated with the same drugs as any herpesvirus infection. We are talking about antiviral drugs, immunomodulators and auxiliary drugs - antipyretic, analgesic and anti-inflammatory. In some cases, the doctor may decide to use drugs to support the affected internal organs.

Treatment of herpetic esophagitis, pneumonia and hepatitis is carried out with the help of antiviral drugs such as Acyclovir, Famvir, Valaciclovir, and others. Among the immunomodulators, we can mention "Viferon "Cycloferon "Isoprinosine" and "Likopid". Therapy of cytomegalovirus in people with transplanted internal organs and in AIDS patients is accompanied by the reception of "Ganciclovir "Cidofovir "Foscarnet".

Treatment of ENT organs and organs of the digestive tract should be supplemented with a special diet, which involves the rejection of fatty, spicy and spicy foods that can irritate the walls of the esophagus and larynx. The patient is recommended to keep the vertical position of the body for an hour after eating, wear loose clothes and abandon bad habits. In the treatment of herpetic pneumonia, often accompanied by a bacterial or fungal infection, great importance is given to antibiotics and expectorants. From antibacterial drugs, you can distinguish "Amoxicillin "Amoxiclav "Augmentin etc. Sputum is facilitated by "ACTS "Sinekod "Gerbion "Mesna "Bromgeksin etc.

Treatment of herpetic hepatitis requires the introduction of hepatoprotectors. Although hepatitis with infectious mononucleosis caused by the Epstein-Barr virus, usually takes place in a mild form and is resolved by most patients independently. In severe cases, acute liver failure develops. In addition, infection with this strain of the virus increases the risk of developing lymphoproliferative diseases after internal organ transplantation.

Additional treatment

Whichever type of herpes virus does not provoke a disease of internal organs, it is important to maintain the patient's condition with vitamins and drugs that normalize metabolism. Treatment of herpes infection is associated with the intake of vitamins A, C, E, group B, routine. Special importance of vitamin therapy is during seasonal exacerbation of the infection. Funds of traditional medicine can be of great use. The treatment with infusion of viburnum, immortelle, tansy and celandine is shown. And folk healers recommend to drink lemon balm regularly for several weeks.

Indispensable in the treatment of herpes folk remedies are fresh juices that can have a huge positive impact on the body's defenses. A good effect can have a mixture of carrot juices, fresh beetroots, parsley and apples. It should be drunk during the day with small sips.

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Herpetic proctitis # 8212; symptoms, course of the disease and its treatment

Herpetic proctitis is an inflammation of the rectal mucosa caused by the herpesvirus of the second type. It is worth noting that the modern classification of the virus today has completely lost its significance, since it can manifest simultaneously on the face and genitals of the patient. The reason for this is a change in the sexual behavior of people. In this regard, in addition to herpetic proctitis, the patient also has other manifestations of this virus.

Herpetic proctitis - course of the disease

As a rule, herpetic proctitis is a chronic form of the disease. In this regard, for him are characteristic, both periods of exacerbation, and a calm of symptoms. At examination at the patient on mucous membranes the doctor finds out vesicles which promptly are transformed in wrong forms of painful erosions and ulcers.

During an endoscopic examination, the doctor can establish that the lower part of the mucosa to the rectum already has erosions, single vesicles (vesicles) and pustules (pustules). Another endoscopic sign of the development of herpetic proctitis is the presence in the folds of the rectum of a large amount of pus.

It should be noted that a very dramatic clinical picture has a herpetic proctitis. Symptoms of the disease are quite severe and cause great discomfort to the patient.

It is worth highlight the following symptoms of the disease

  • very strong pain;
  • presence of blood discharge from the anus;
  • constipation;
  • tenesmus - false urge to bowel movement;
  • enlarged lymph nodes;
  • general weakness and pain in the head;
  • temperature increase.

Diagnosis of herpetic proctitis

As a rule, for the diagnosis of herpetic proctitis, the doctor has enough information about the patient's symptoms and his examination. However, confirmation of the presence of the virus is very important in order to prescribe drugs aimed at fighting the virus. Especially this moment concerns people who are severely weakened immunity. To confirm the presence of the herpes virus in a patient with herpetic proctitis, electron microscopy, biopsy, serological diagnostics, and virological methods are used.

Herpetic proctitis treatment and prognosis

Despite the fact that modern antiviral therapy is developing quite rapidly, the effective method of curing the herpes virus has not yet been invented. However, the use of antiviral drugs reduces the number of relapses and the severity of the disease.

Concerning the reduction of the inflammatory process, then purifying and therapeutic enemas are used. mud treatment, and also the patient is prescribed a strict diet.



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