Complications
These include:
- local extension
- extragenital spread - to the buttocks, fingers or eye seen in 20%
- CNS:
- aseptic meningitis, much more common with HSV II, occurring in perhaps 20% of patients, 5% needing hospitalisation
- autonomic dysfunction - hyperaesthesia, anaesthesia, difficulty in micturition and defaecation
- rare complications:
- erythema multiforme
- monoarthritis
- hepatitis
- thrombocytopaenia
- spread to preexisting lesions
- 10% of lesions become superinfected with bacteria or candida
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