MRCEM Notes

Herpes

There are 8 human herpes viruses (HHV).
  • Herpes simplex type I (HSV1/HHV-1)
  • Herpes simplex type II (HSV2/HHV-2)
  • Varicella-zoster virus (VZV/HHV-3)
  • Epstein-Barr virus (EBV/HHV-4)
  • Cytomegalovirus (CMV/HHV-5)
  • Human herpes virus type 6 (HBLV/HHV-6)
  • Human herpes virus type 7 (HHV-7)
  • Kaposi's sarcoma herpes virus (KSHV/HHV-8)

Virus NameHHV NumberClinical Diseases
Herpes simplex virus type 1HHV-1Oral herpes, gingivostomatitis, keratoconjunctivitis, encephalitis, now recognised as the most common cause of genital herpes
Herpes simplex virus type 2HHV-2Classically genital herpes, neonatal herpes, aseptic meningitis
Varicella-zoster virusHHV-3Chickenpox (varicella), shingles (herpes zoster), post-herpetic neuralgia
Epstein-Barr virusHHV-4Infectious mononucleosis, Burkitt lymphoma, nasopharyngeal carcinoma, Hodgkin lymphoma
CytomegalovirusHHV-5Congenital CMV infection, CMV mononucleosis, CMV retinitis (especially in HIV)
Human herpesvirus 6HHV-6Roseola infantum (exanthem subitum), febrile seizures in infants
Human herpesvirus 7HHV-7Occasionally roseola, less well defined role in disease
Kaposi’s sarcoma–associated herpesvirusHHV-8Kaposi’s sarcoma, primary effusion lymphoma, Castleman disease
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