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Go to your doctor and get tested for genital herpes. A doctor may take a sample from what appears to be a genital herpes sore and examine it under a microscope.

You can also have a blood test for genital herpes. The blood test looks for antibodies to the virus that your immune system would have made when you were infected. The second type of herpes simplex virus, HSV-2, almost always infects the genitals, so if antibodies to HSV-2 are detected in your blood, you probably have genital herpes. A blood test that shows antibodies to the other type of herpes virus, HSV-1, means you could have genital or oral herpes. That’s because oral herpes, typically caused by HSV-1, can be spread to the genitals during oral sex.

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Babies. Babies infected before birth who become sick with CMV have symptoms affecting many major organs including the liver, brain, eyes, and lungs. The baby may suffer from convulsions, lethargy, a rash that looks like tiny red pinpoints on the skin, and breathing problems. Surviving babies often have such permanent damage as mental retardation, small brain or water on the brain (micro- or hydrocephalus), hearing loss, eye inflammations, poor coordination, and liver disease.

Children. Young children have few, if any symptoms. They may experience a mild cold- or flulike illness with fever, but you can’t tell it apart from any other mild viral illness.

Adults. Very few adults, including pregnant women, have any symptoms. Symptoms will be so mild—achiness, a low fever, sore throat—that you won’t be aware you are sick.

Tests

Because the virus is excreted in blood, urine, saliva, cervical secretions, and breast milk, CMV can be grown in any of these samples. It is not difficult to grow the virus, and the test is available in most large hospital and commercial labs. The virus grows slowly, however, and you may wait from two to six weeks for results.

You can also have your blood tested for the CMV antibody. If you have the antibody, you’ve been previously infected with CMV, but this test won’t tell whether the virus is present in your blood, urine, or saliva.

Newborns with possible congenital CMV infection must have virus cultured from their urine, nose, eyes, or spinal fluid to confirm CMV as the cause of illness.

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A new study reveals that the painful condition called shingles may be hereditary.

Herpes zoster, commonly known as shingles, occurs when varicella zoster, the virus that causes chickenpox, affects the spinal nerves and causes nerve pain. The condition is expensive to treat and risk factors include depression, suppressed immunity, older age and other illnesses. Recently, genetic risk factors have also been suggested for shingles.

In a recent study, researchers at the University of Texas Medical School at Houston found a strong association between the development of shingles and having a blood relative with a history of the infection.

The study compared 504 patients treated for herpes zoster to 523 control patients with other skin conditions, and found that individuals with herpes zoster were more than four times more likely to have a first-degree relative with a history of the condition than control group participants.

“Such patients represent a population that may be at increased risk of developing herpes zoster and therefore have a greater need for vaccination,” study authors write. “Therefore, targeting these at-risk individuals based on their family history may decrease both their chance of future herpes zoster infection and health care expenditures toward herpes zoster morbidity.”

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