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Herpesviruses

Herpesviruses are a large family of DNA viruses within the order Herpesvirales. Members infect a wide range of vertebrates and are characterized by enveloped, icosahedral virions, large double-stranded DNA genomes, and a tendency to establish lifelong latent infections in host cells. Following primary infection, many herpesviruses establish latency in sensory neurons or lymphoid cells and can reactivate periodically, often during stress or immunosuppression.

Taxonomy and key members: The family is divided into three subfamilies. Alphaherpesvirinae includes rapidly replicating viruses

Clinical spectrum: HSV-1 and HSV-2 commonly cause oral and genital lesions and can involve the eyes or

Diagnosis and treatment: Diagnosis uses PCR, serology, and, when appropriate, viral culture. Antiviral drugs such as

Prevention and vaccines: Vaccines exist for varicella and herpes zoster (Varicella vaccine and Shingrix), reducing the

Epidemiology: Herpesviruses are globally prevalent; most people acquire primary infection in childhood or early adulthood, with

such
as
herpes
simplex
viruses
1
and
2
and
varicella-zoster
virus.
Betaherpesvirinae
contains
cytomegalovirus
and
related
viruses
such
as
HHV-6
and
HHV-7.
Gammaherpesvirinae
includes
Epstein-Barr
virus
and
Kaposi
sarcoma-associated
herpesvirus,
which
establish
latency
in
B
cells
and
are
linked
to
certain
lymphoproliferative
diseases.
central
nervous
system.
Varicella-zoster
virus
causes
chickenpox
in
primary
infection
and
shingles
upon
reactivation.
EBV
is
associated
with
infectious
mononucleosis
and
certain
cancers;
CMV
can
cause
congenital
disease
and
opportunistic
infections
in
immunocompromised
individuals.
HHV-6/7
are
major
causes
of
roseola
in
children,
and
KSHV
is
linked
to
Kaposi
sarcoma
and
related
conditions.
acyclovir,
valacyclovir,
and
famciclovir
are
active
against
many
alphaherpesviruses;
ganciclovir
is
used
for
CMV.
Resistance
can
occur,
and
no
therapy
cures
latent
infection.
burden
of
chickenpox
and
shingles.
Vaccines
for
HSV
and
CMV
are
not
yet
widely
available,
though
development
continues.
lifelong
persistence
and
intermittent
reactivation.