uncommon symptoms for diagnosis

[fldiverbob]

I have had hsv2 for one year and three months.  I contracted it during normal sex and had a breakout in my groin area 8 days after contact.  A biopsy from my Dermatologist came back positive for hsv 1 and hsv 2.  Also, a recent exposure blood test came back with the same results.  After four months I did an IGG blood test and tested positive for hsv 2 with an ab level of 1.9.  negative for hsv 1.  After six months I got the same results but with an ab level of 1.5.  All this time I never had a breakout of any kind.  Then after one year and one month I felt tired, had some red blotches break out on my chest, not bad, my right ear hurt,  I got a blister under my right eyelid, and had some ulcers break out in the right corner of my mouth very similar to apthase ulcers.  None of these were on the outside of my mouth.  Out of curiosity, I had another IGG blood test done and again was positive for hsv 2 with an ab level of 3.95.  Everyone I talked to said these are hsv 1 symptoms.  So to be sure I had the Western Blot test done and it came back positive for hsv2 and negtive for hsv 1.  So, I am wondering if anyone else out there has these symptoms for hsv 2.  Also, if my future breakouts and shedding are going to be in my mouth and maybe a blister or two on my arm then does that mean I am pretty safe to have normal sex without worrying about transmission to my partner and just have to be careful not to have oral sex when I have a sore in my mouth.  

[fldiverbob]

Here is some reading you might find interesting.

Neurons in the sacral ganglia traditionally have been considered to be the site of HSV-2 latency. Examination of HSV-2 latency using polymerase chain reaction (PCR) techniques have demonstrated HSV-2 latency in ganglia throughout the central nervous system (CNS) axis, albeit at significantly lower frequencies than in the sacral ganglia. Latency of HSV-2 has also been demonstrated to occur in trigeminal ganglia. The widespread latency of HSV-2 suggests that the virus may reach ganglia far removed from the site of primary infection. The molecular mechanisms underlying HSV latency are incompletely understood.

Although reactivation of latent HSV primarily has been studied in HSV-1–infected cells, it is likely that similar mechanisms underlie reactivation of HSV-2. Latent HSV infection is reactivated by local and systemic stimuli. Current evidence suggests that the most plausible mechanism for HSV reactivation is stimulation of latently infected cells through pathways yet to be determined. The fate of neurons supporting replication of reactivated HSV remains undecided. Many patients with HSV-2 infection shed low levels of virus continuously without demonstrated reactivation.

[Life360_Dave]

What your stating is not possible. Herpes does not work its way up the body.

[fldiverbob]

You understand that the original breakout was at the site of first contact or the infection site, the groin.  I have not since had a breakout there or even tingling or itching of any kind.  I believe the virus entered there but settled at a place where it tries to break out in the mouth and upper body.  Thank you for your suggestion as I think an oral swab would be a good way to confirm what is happening.  For sure it is not hsv 1.  

Thanks again

[Life360_Dave]

Hi, since the swab test on your groin came back positive for hsv2 and the WB blood test came back positive for hsv2 it would appear that your hsv2 is genital not oral. The only way to confirm this is to have an oral sore swabbed as having oral hsv2 is not common at all.