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FTN2

My child has red bumps!?

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FTN2

After 15 years, I had my first OB last year. I was shocked to learned I got HSV2 from my first of two partners. 

I haven’t had an outbreak since (that I’ve been aware of - I knew the other one there for sure!).

Over thanksgiving, I noticed my 5 year old had a pimple on his but. It was red around it but we assumed it was just an irritation. It took a while to go away (maybe a week and a half) and looked liked two marks vs how a regular pimple might have healed. So I actually assumed it might have been a bite. 

Well I checked him this morning and he had another red bump on the same side just above where the other one was. 

Im sick to my stomach worried I might have given him something but I am wracking my brain trying to figure out how and when he could have gotten it???

I’m so careful although I do sleep with him at night. I did have some pretty bad cuts on my hands from the cold and I have grabbed his butt a few times but that’s the only thing I can think of. 

Have there been cases of parents with no symptoms giving HSV2 to their kids? I’m sick right now worried about it. 

 

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Roja

Hi FTN2,

I can understand you're nervous. However, there is very little possibility you gave it to your child through birth (I think it is around 5%) if your first outbreak was not during pregnancy. It is very, very, very unlikely that you gave it to him afterwards. HSV-2 is mainly transmitted through direct skin contact of the infected areas. 

Does your child feel any pain? I think the best thing would be to visit a doctor and tell him about your fears. I am sure together you'll find a solution :)

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FTN2

I made an appointment to visit the doctor today so we will see what they say. When I give him a bath, I wash him with my hands and I have had some cuts on them. Would it be possibly to be transmitted that way??

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Notthesame

It's very possible. I have read posts for childcare workers with cases of transmitting through diaper change etc.. maybe sleeping in underwear if any bare skin on lower back or thighs etc children can sleep very close and move around alot. 

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FTN2

Ugh, so it can be transmitted through hands even without an active lesion? My outbreak was on my upper thigh

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Cas9
2 hours ago, Notthesame said:

It's very possible. I have read posts for childcare workers with cases of transmitting through diaper change etc.. maybe sleeping in underwear if any bare skin on lower back or thighs etc children can sleep very close and move around alot. 

No, it's NOT very possible.

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Cas9
1 hour ago, FTN2 said:

Ugh, so it can be transmitted through hands even without an active lesion? My outbreak was on my upper thigh

I can see that you really don't understand HSV. First of all, tell me where your HSV infection was diagnosed by a doctor, and how it was diagnosed; i.e. are you telling me that a doctor looked at your upper thigh and diagnosed it as HSV? Did you have a blood test? Did you have the sores swabbed? Was the OB anywhere else besides the upper thigh? Did you have any additional OBs after the one 15 years ago but long before this recent one? Give us some history.

Edited by Cas9

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FTN2

I had an OB last year but had no idea I had HSV2. A derm swabbed it and it was positive for HSV2. I also had it confirmed via a blood test and the doc said it’s likely I had it for a long time. 

I cant for the life of me recall a time in the past year where I had it and would have exposed him. 

My husband has not shown signs of HSV2 but does get a lot of pimples and in grown hairs. Couldy husband have possibly given it to him through sharing a towel? 

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Cas9
3 minutes ago, FTN2 said:

I had an OB last year but had no idea I had HSV2. A derm swabbed it and it was positive for HSV2. I also had it confirmed via a blood test and the doc said it’s likely I had it for a long time. 

I cant for the life of me recall a time in the past year where I had it and would have exposed him. 

My husband has not shown signs of HSV2 but does get a lot of pimples and in grown hairs. Couldy husband have possibly given it to him through sharing a towel? 

So the only place you have tested positive is the upper thigh?

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FTN2

Yes. That’s the only place I had an outbreak. Or at least that I had been aware of. I’m covered most of the time I’m near the kids. Rarely have I worn shorts. I have spent a fe minutes in my underwear in the mornings while getting ready but that’s it. I’m baffled if it’s HSV2 where he would have gotten it? He has had some recent rough patches of skin on his back, butt and legs from eczema but no open cut or sore. 

Just took him to see my doctor who said to wait until January and give him a blood test. He has nothing fluid filled or with pus to check now. 

But he said it would be highly unlikely to be HSV but as someone with it, I can’t find any other conclusion? He had a pimple on Thanksgiving but you can see it’s still healing. The new one that popped up this morning seems to be along the dermatone. Same butt cheek just a little higher. 

It doesn’t look like typical HSV but I feel like there’s always exceptions. Including me who got it on the back of my thigh??

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Cas9
9 hours ago, FTN2 said:

Yes. That’s the only place I had an outbreak. Or at least that I had been aware of. I’m covered most of the time I’m near the kids. Rarely have I worn shorts. I have spent a fe minutes in my underwear in the mornings while getting ready but that’s it. I’m baffled if it’s HSV2 where he would have gotten it? He has had some recent rough patches of skin on his back, butt and legs from eczema but no open cut or sore. 

Just took him to see my doctor who said to wait until January and give him a blood test. He has nothing fluid filled or with pus to check now. 

But he said it would be highly unlikely to be HSV but as someone with it, I can’t find any other conclusion? He had a pimple on Thanksgiving but you can see it’s still healing. The new one that popped up this morning seems to be along the dermatone. Same butt cheek just a little higher. 

It doesn’t look like typical HSV but I feel like there’s always exceptions. Including me who got it on the back of my thigh??

OK, so given the location of your OB, it indicates the virus resides in the nerve cells of the dorsal root ganglia (DRG) (i.e. at the base of your spine). That's also the location for GHSV (Genital HSV). Your HSV does not float around in your blood; it resides only in the nerve cells of the DRG. Therefore, touching someone with you hands will not transmit any hsv. I mention this because you seem to believe that the virus will emerge from the cut on your finger. No such thing.

So the only way to transmit to your child is for the virus to touch him, penetrate his skin, and infect the nerve cells.
That requires a decent amount of virus and it needs to get through his skin. The skin on his butt is thicker then the genital area or the lips so it is less likely for the virus to get through. Possible, but not likely. Of course if there was an open wound there the chances would increase; just common sense.

Now, the issue is whether you even got any virus on his butt in the first place. The greatest chance of that happening in your situation would be if his butt was pressed up against your upper thigh during an OBBut if you had no OB there, then either no virus was present, or only a minimal amount via viral shedding. In the latter case there's only an outside chance of infecting him because there's not a lot of virus involved and also because of the thickness of the skin, which I mentioned earlier. Of course that assumes he didn't have any abrasions there, which would improve the chances of the virus getting through.

The only other way for the virus to get on him would be indirectly. This would be something like you scratching an OB, followed by you rubbing his butt. Note that when the contact is indirect, the amount of virus transferred is reduced; i.e. if I touch a sore, the amount of virus on my fingers is less than the sore itself since not all the virus will transfer. The other factor is timing. If you rubbed a sore and didn't touch him for several minutes, it's likely the virus is gone because it can't survive long outside a cell. How long it survives outside a cell varies depending on the conditions it encounters; i.e. heat, humidity, etc...

Transferring from a towel would be rare. It would have to be something like, you rubbing a sore with a towel and then within a couple of minutes, rubbing his butt with that same towel. Even then it's unlikely to transfer but not impossible.

In summary, I would say the odds that you transferred hsv to your child are quite low. I would rest easy while waiting for your test results.

Edited by Cas9

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FTN2

This is helpful. Thank you! He did have some eczema patches on his skin that were rough but nothing like open skin. 

 It sounds like it’s likely nothing but not impossible it could be HSV2. I’m taking him to a dermatologist so we’ll see what they say too.. 

 

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FTN2

Update: Dermatologist said zero chance it was HSV2

 He said he didn’t think it was because of the presentation and  had it been HSV2 he would’ve had the fluid filled vesicles. But I hear all the time about it being just one bump. One little pimple. So I guess I will always still worry but going to try to accept this for what it hopefully it not. 

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WilsoInAus

Hey @FTN2 that is good news and I am glad the dermatologist was able to put your mind at ease.

Remember that there are no symptoms unique to HSV.

What is more important are the feasible transmission modes. HSV-2 genitally has pragmatically zero transmission chance outside of sexual activity involving genitals. 

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FTN2

Thanks @WilsoInAus. So one more question.... so if there is really no chance of him getting it from me outside of sexual activity (which is obviously not happening). Let’s say I had an outbreak on my lower backor another spot not visible to me and he came in contact with it, either directly through his body or hands, he would need to touch his penis or mouth for him to get it? 

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WilsoInAus

If the area with an outbreak isn’t covered by pants, dress, shorts etc. then it is most probably not a genital herpes outbreak.

Only the skin area that comes into contact with the lesion (or heavily shedding area) is at pragmatic risk. Transferring via a finger or object is not pragmatic as insufficient viral particles transfer, it is deactivated quickly and will be missing transmission facilitation cells and chemicals.

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Roja
10 hours ago, FTN2 said:

Update: Dermatologist said zero chance it was HSV2

 He said he didn’t think it was because of the presentation and  had it been HSV2 he would’ve had the fluid filled vesicles. But I hear all the time about it being just one bump. One little pimple. So I guess I will always still worry but going to try to accept this for what it hopefully it not. 

Maybe chickenpox? I also had only one spot when I was a child. 

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FTN2

I think what’s still concerning to me is that earlier in November, he had a swollen lymph node in his neck and the mark he had about 1.5 weeks go follows the dermatone. 

I realize it’s a pretty slim chance it’s HSV2 but something tells me it’s not just random that he got two bumps/pimples on the same cheek a week apart? 

@Roja that’s an interesting idea. 

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FTN2

Another update: last night he developed another very small bump in the area. It does not have a lot of redness just a bump. The bump I saw earlier this week is still pretty red and not as defined as it was. It’s more spread out. There are no vesicles yet. We saw the pediatrician this morning who said it was folliclitius. I highly doubt he could have caught HSV2 from me but now I’m thinking more about my husband. He has not yet been tested and has not experienced OBs to his knowledge. He often just wears his underwear (boxer briefs) around the house (no shirt) and has a history of ingrown hairs and some painful cyst like things in his lower half.

Now I’m wondering if somehow he has it, and because his body is often exposed and often touches our child, could our child in fact have HSV2? Three doctors are all saying highly unlikely but we can never say impossible. At this stage (3 days in) would the redness, bump bother him? He has not complained at all. I’m trying to accept the doctors diagnosis but I can’t help feeling like they are missing something. 

 

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WilsoInAus

No, it is. It at all feasible for your child to have HSV-2 with a manifestation of the nature you describe on their back.

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FTN2
27 minutes ago, WilsoInAus said:

No, it is. It at all feasible for your child to have HSV-2 with a manifestation of the nature you describe on their back.

@WilsoInAus - are you saying it’s not possible. I wasn’t sure! Here’s a picture. The spot on the far right is where the original pimple was (when we saw it was just white pus). But when it healed it looked like two marks. 

 

 

8DA6DD00-A739-496D-9620-DA33E115697C.jpeg

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WilsoInAus

That really looks like folliculitis to me, it sure doesn't look like HSV 1/2.

And yes exactly that, it is virtually impossible in the ordinary course of events to infect one's child with their genital HSV-2. 

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Gems
On 12/4/2018 at 1:06 AM, FTN2 said:

I made an appointment to visit the doctor today so we will see what they say. When I give him a bath, I wash him with my hands and I have had some cuts on them. Would it be possibly to be transmitted that way??

sounds like poss a-typical symptoms on your hands. it is poss to catch on your hands and transmit that way.

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