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What Does a Primary Attack of Herpes Look Like?

Herpes simplex virus (HSV) is a common virus in humans. It is contagious and spread by skin-to-skin contact among humans. The primary outbreak is usually the most severe an infected person will have.

  1. Definition

    • A primary attack or outbreak of herpes is one that happens in someone who has never had an outbreak before. It is a first herpes outbreak.

    HSV-1

    • HSV-1 is commonly known as cold sores. They usually occur around the corners of the mouth, but can be spread to the genitals with oral-to-genital contact.

    HSV-2

    • HSV-2 is commonly known as genital herpes. It usually occurs on or near the genitals.

    Symptoms

    • The primary outbreak of herpes usually happens within two weeks of being infected. Primary outbreaks often have symptoms similar to the flu.

    HSV-1 Appearance

    • For HSV-1 primary outbreaks, cold sores or fever blisters may occur in the corners of the mouth as well as inside the mouth. Lesions inside the mouth usually occur only during the primary outbreak. These heal in two to four weeks, but the virus remains in the body.

    HSV-2 Appearance

    • Primary infections of HSV-2 are usually a cluster of blister-type sores in the genital area. There is burning if urine contacts the sores. Other signs and symptoms include swollen glands, itching, open sores, and pain in the infected area. The sores usually scab and heal in two to four weeks, but the virus remains in the body. )

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