Herpes Simplex in Emergency Medicine Treatment & Management

Updated: Jun 26, 2017
  • Author: Melissa Kohn, MD, MS, FACEP, EMT-T/PHP; Chief Editor: Steven C Dronen, MD, FAAEM  more...
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Treatment

Emergency Department Care

ED care consists of diagnosis and appropriate treatment. Most patients may be treated in the outpatient setting. Pregnant patients also need to be educated on the importance of follow-up to reduce transmission to the fetus. [11] Identification of patients who need inpatient treatment (ie, encephalitis) and initiation of antiviral and supportive therapy is imperative. [4]

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Consultations

Ophthalmologist for keratoconjunctivitis

Obstetrician for active genital herpes in a near-term pregnancy

Outpatient dermatologist for differentiation of skin infections

Infectious disease specialist for disseminated disease and encephalitis

The psychological effect of HSV diagnosis may require patients to seek further evaluation.

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Prevention

Patients should be counseled on barrier protection methods to prevent HSV transmission to others.

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