Genital herpes in Jamaica: a clinical and pathological study 1982-1984

Five hundred and four patients with suspected genital simplex virus (HSV) infection were investigated in Jamica between 1982 and 1984. Of these, 100 (1908%) were virologically confirmed. There were 12 patients with primary/first episode, 45 recurrente and 6 "provoked" type of genital herpes simplex virus infections. Genital herpes in women was more severe than in men. Eighty-eight per cent of genital herpes was confirmed by virus isolation. Forty HSF isolates were identified as HSV type 2. There was seroresponse in 75% primary, 18% recurrent and 17% provoked type of genital herpes. Virus isolation is the most sensitive and specific test for the diagnosis of genital herpes simplex virus infection. The measuremem of serum anti herpes simplex complement-fixing antibodies was not useful in the diagnosis of suspected patients with genital ulcers and their contacts. The infectiousness of the virus, clinical manifestations, complications such as neonatal herpes infections, psychosocial problems and methods of prevention are issues that clinicians should discuss with patients with genital herpes