II. Pathophysiology
- Charactistics
- All herpes family viruses can lead to a latent infection
- Migrate proximally along nerves to sensory ganglia where they lie dormant after primary infection
- Reactivate during stress (e.g. fever, sunlight, Menses) or Immunocompromised states (e.g AIDS)
- With reactivation, virus migrates back distally along Peripheral Nerve
- Results in a rash that follows a nerve course (e.g. dermatomal rash of Shingles)
- Immune response
- Herpes viruses trigger a cell mediated immune response
- Compromised cell mediated Immunity is associated with more severe Herpesviridae Infections
III. Types: Alphaherpesvirinae
- Background characteristics
- Highly cytopathic infections compared with other herpes viruses
- Trigger cell destruction with epithelial separation, resulting in Blister formation
- Develops multinucleated giant synctytial cells
- Highly cytopathic infections compared with other herpes viruses
- Simplexvirus (Herpes Simplex Virus)
- Human Herpes Virus 3: Zoster Virus (Varicellovirus)
- Initial: Varicella Zoster Virus (Chicken Pox)
- Reactivation: Herpes Zoster (Shingles)
IV. Types: Gammaherpesvirinae
- Human Herpes Virus 4: Epstein Barr Virus (Mononucleosis)
- Human Herpes Virus 8: Kaposi Sarcoma Associated Herpesvirus
V. Types: Betaherpesvirinae
- Human Herpes Virus 5: Cytomegalovirus (CMV)
- Human Herpes Virus 6: Roseola Infantum (Exanthem Subitum)
- Human Herpes Virus 7