Abstract
The presence, frequency, and relationship of ocular and oral shedding of herpes simplex virus to previous herpes keratitis was investigated. This was to determine if a history of herpes keratitis predisposes to shedding of the herpes simplex virus into the tear film and/or mouth. Swabs were collected from the eyes and mouth of two groups of patients thrice weekly over a two- to four-month period. Group A comprised nine patients with a history of herpes labialis, group B 15 patients with a history of herpes keratitis. Herpes simplex virus type 1 was isolated from 1.33% of mouth specimens but was not identified in any of the ocular specimens. There was no significant difference between groups A and B in terms of ocular or oral shedding. Oral shedding appears to be independent of a previous herpes keratitis. The tear film is an unlikely source of virus in persons either with no history of herpes keratitis or between attacks in those patients with a history of previous herpes keratitis.
Full text
PDF


Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- BUDDINGH G. J., SCHRUM D. I., LANIER J. C., GUIDRY D. J. Studies of the natural history of herpes simplex infections. Pediatrics. 1953 Jun;11(6):595–610. [PubMed] [Google Scholar]
- Douglas R. G., Jr, Couch R. B. A prospective study of chronic herpes simplex virus infection and recurrent herpes labialis in humans. J Immunol. 1970 Feb;104(2):289–295. [PubMed] [Google Scholar]
- Easty D. L., Shimeld C., Claoue C. M., Menage M. Herpes simplex virus isolation in chronic stromal keratitis: human and laboratory studies. Curr Eye Res. 1987 Jan;6(1):69–74. doi: 10.3109/02713688709020071. [DOI] [PubMed] [Google Scholar]
- Hatherley L. I., Hayes K., Jack I. Herpes virus in an obstetric hospital. II: Asymptomatic virus excretion in staff members. Med J Aust. 1980 Sep 6;2(5):273–275. [PubMed] [Google Scholar]
- Hill J. M., Dudley J. B., Shimomura Y., Kaufman H. E. Quantitation and kinetics of induced HSV-1 ocular shedding. Curr Eye Res. 1986 Mar;5(3):241–246. doi: 10.3109/02713688609020049. [DOI] [PubMed] [Google Scholar]
- Kaufman H. E., Brown D. C., Ellison E. M. Recurrent herpes in the rabbit and man. Science. 1967 Jun 23;156(3782):1628–1629. doi: 10.1126/science.156.3782.1628. [DOI] [PubMed] [Google Scholar]
- Spruance S. L., Overall J. C., Jr, Kern E. R., Krueger G. G., Pliam V., Miller W. The natural history of recurrent herpes simplex labialis: implications for antiviral therapy. N Engl J Med. 1977 Jul 14;297(2):69–75. doi: 10.1056/NEJM197707142970201. [DOI] [PubMed] [Google Scholar]
- Spruance S. L. Pathogenesis of herpes simplex labialis: excretion of virus in the oral cavity. J Clin Microbiol. 1984 May;19(5):675–679. doi: 10.1128/jcm.19.5.675-679.1984. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Weathers D. R., Griffin J. W. Intraoral ulcerations of recurrent herpes simplex and recurrent aphthae: two distinct clinical entities. J Am Dent Assoc. 1970 Jul;81(1):81–87. doi: 10.14219/jada.archive.1970.0157. [DOI] [PubMed] [Google Scholar]