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