Ano-genital Herpes in Children

A 19-Year-Old Girl With Rectal Bleeding

“…Interestingly, recent studies have demonstrated that the epidemiology for HSV type 1 and HSV type 2 has changed over the last few years, with the former becoming more commonly acquired as genital infections during mid to late teen ages (14 year olds and older) rather than as an acquired non-STD infection during childhood. 10-12 This is a tendency that had already been reported in college students in the United States since 2003, for both males and females. 13 One of the possible explanations for this phenomenon is the noticeable increment in sexual activity among teenagers and oral-genital-anal sexual practices.…”

“…[2][3][4] One of the least expected etiologies for LGIB in the adult population are STDs, which are commonly reported to cause proctitis in adult men who had sex with men. [10][11][12] This is a tendency that had already been reported in college students in the United States since 2003, for both males and females. Some of the most common infectious etiologies for proctitis include chlamydia, gonorrhea, herpes simplex virus (types 1 and 2), and, in rare instances, lymphogranuloma venereum.…”

Sexually Transmitted Infections and Children: What the PNP Should Know

“…Genital herpes is caused by HSV. HSV can be innocently transmitted to the genital area via autoinoculation (a child with active oral herpes lesions touching their mouth and then their genitals) or from caregivers during diapering, bathing, and toileting (Hornor, 2006). Typing of HSV does not help determine whether sexual abuse was the mode of transmission for the virus because up to 20% of adult cases of genital herpes are due to type 1 (Bechtel, 2010).…”

A Community Program to Fight Child Abuse: the Fort Wayne Children's Foundation and Kids' Law

“…Signs of sexual abuse include difficulty walking or sitting, shyness, nightmares or bedwetting, appetite change, unusual sexual discussion, venereal disease, running away, anogenital warts, or reporting of sexual abuse. 10,34 Substance Abuse…”