Yes. It is quite possible that these scabs on your nose are oral hsv. I was just recently diagnosed with hsv2. I have never had a genital outbreak. The outbreaks have always been just like the scabs on your nose...or scabs that look like shingles on the torso and the arm. The spots never get big but they are quite frequent since I got the virus. I'm not actually sure when I got the virus. I'm pretty sure my first outbreak was within the last 5 months...but it was almost unnoticable. I also have been getting sick easily. Swollen lymph, coughing, sweats, abdominal pain
A related discussion,
oral herpes was started.
I've been reading everything out there regarding hsv2 and still am not sure if I've been misdiagnosed. When I was 26 I had a sore/irritation on my labia which my gyn told me was herpes. He never cultured it or did any blood tests .......just looked at it and diagnosed me. This was in 1985. In 1989 when I was pregnant and seeing a different ob/gyn she ran a "TORCH" screen on me and told me I was positive for cmv and herpes. The cmv antibodies turned out to be from an old infection that she said I probably acquired from my job as a nurse on a micu. I'm wondering now if the test done in 1989 was gG specific for hsv1 and hsv2. I have never had another sore or lesion in all these years(20 years) and my (now ex-)husband still tests negative. Do you think the tests done 20 years ago were specific to type 1 vs type 2?
I was wondering if there is any stats or studies on non-genital HSV2 infection rates.
I've seen numbers on the Web from 5% to 30% non-genital
(facial,Whitlow, etc) but these numbers are probably suspect.
As a side note: Have you ever considering writing a book for sexually active persons concerning STD risk and how to manage it. With all the mis-information out there, I think it would
be a very important work.
Opps:
"I do realize that a true primary HSV infection (negative for 1 or 2) can be really bad orally in adults."
Meant:
"I do realize that a true primary HSV infection (negative for 1 AND 2) can be really bad orally in adults."
Yikes! I have searched all over the internet and have found very very little on HSV2 orally and nothing at all on HSV2 causing facial lesions. Most of the few things I read about oral HSV2 mentioned ulcers in the throat and mouth. Then nothing at all about facial lesions. Especially not outside the mucosa areas like mine was. And not one that was just one big raised lesion. It came from down deep. And it hurt and swelled for 4 days before it came to a head. Did not seem to just be on the surface like I have read about HSV. And my throat did not hurt until a few days after that.
I do realize that a true primary HSV infection (negative for 1 or 2) can be really bad orally in adults. Then reoccurrences are outside of the mucosa areas are and can be facially. Hmmm...
But, I had cold sores as a kid. So, this was not a "primary oral HSV" - it was a first time HSV2 oral if that is what it was. And those seemed to be confined to the inside of the mouth?
How long should I wait? Is 6 weeks good? Percentage who are positive at that time?
I just do not want to wait another 3 months and freak out.
Advice?
Questions 1 and 2: The symptoms you describe don't particularly sound like herpes, but probably are consistent with it. The risk of getting facial herpes from a single episode or oral-genital exposure is extremely low. You should not have had the IgM test; the results are worthless whether positive or negative. (Search the STD forum threads for more information). All you can do at this point is await another HerpeSelect test a few weeks from now.
Question 3: Varying ELISA ratios are meaningless with HerpeSelect, as long as the result remains in a clearly positive or clearly negative range, as yours did. Everybody always has different numbers on serial tests.
HHH, MD