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Hello ! I Have Question About HSV 2 ( Genital

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Posted on Sun, 13 Aug 2023
Question: Hello !

I have question about HSV 2 ( genital herpes) and meningitis

How much people who have HSV 2 get meningitis that need hospitalization ?

As in literature it is said

The incidence of VM in the United States has been estimated to be 0.26-17 cases per 100,000 people [2]. A prospective cohort study published in 2018 by XXXXXXX McGill et al. showed that in United Kingdom adults, 55% of VM cases were caused by enteroviruses, followed by HSV as the second most common cause at 44%
HSV meningitis is caused by HSV2
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC0000/#REF3

But as much as 20 % in population is HSV 2 antibodies positive - and mathematic 100 000 / 5 = 20 000/ 5 = 4000 or olny 0,025 % get HSV2 hospitalization

But in old literature it is said that 2 % man and 6 % will HSV 2 genital herpes will get meningitis for hospital admission
https://sci-hub.se/10.7326/0003-4819-98-6-958

But it is in old literature - so how it is in real world ? How much of HSV 2 carriers will get hospitalization meningitis

Please could you explain me doctor?

Thank you



doctor
Answered by Dr. Sankaranantham Murugan (5 hours later)
Brief Answer:
Not came across a single case of meningitis due to HSV 2 so far.

Detailed Answer:
Hi,
Welcome to ASK A DOCTOR through HCM.
Thanks for posting your query.
I am neither a statistician nor a public health administrator.
I am practicing STI and HIV Medicine for more than 35 years. I had come across and managed thousands of Genital Herpes cases so far. I had not come across a single case of meningitis through HSV 2. I attended around hundred national conferences on STI and HIV/AIDS during these years. I had not come across such a presentations anywhere. at the same time I had come across 3 cases of HSV 1 encephalitis and also have read few case reports of encephalitis due to HSV 1. Meningitis due to HSV 2 is very extremely rare.
Dr S. Murugan
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Saisudha Kotla
doctor
Answered by
Dr.
Dr. Sankaranantham Murugan

HIV AIDS Specialist

Practicing since :1974

Answered : 3112 Questions

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Hello ! I Have Question About HSV 2 ( Genital

Brief Answer: Not came across a single case of meningitis due to HSV 2 so far. Detailed Answer: Hi, Welcome to ASK A DOCTOR through HCM. Thanks for posting your query. I am neither a statistician nor a public health administrator. I am practicing STI and HIV Medicine for more than 35 years. I had come across and managed thousands of Genital Herpes cases so far. I had not come across a single case of meningitis through HSV 2. I attended around hundred national conferences on STI and HIV/AIDS during these years. I had not come across such a presentations anywhere. at the same time I had come across 3 cases of HSV 1 encephalitis and also have read few case reports of encephalitis due to HSV 1. Meningitis due to HSV 2 is very extremely rare. Dr S. Murugan