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Herpes viral culture of lesionDefinitionHerpes viral culture of a lesion is a test to confirm the presence of herpes simplex virus in a skin sore. Alternative NamesCulture - herpes simplex virus; Herpes simplex virus cultureHow the Test is PerformedA specimen from a skin lesion (often a genital sore) is collected during the acute phase (worst part) of an outbreak and placed in a special substance called medium. The specimen may be placed in cell cultures, so they can replicate to help identification, or it may be identified by monoclonal antibodies that detect early antigens of herpes simplex virus. Serotyping of the virus (to determine whether it's type 1 or 2) may also be done. Results are available within 16 hours to 7 days, depending on the culture method used. How to Prepare for the TestThe specimen must be collected during an acute infection. How the Test Will FeelThe specimen is collected by scraping the suspected skin lesion or aspirating fluid from the lesion. This can cause a scraping or sticking sensation. Sometimes a specimen from the throat or eyes is obtained, usually by rubbing a sterile swab against the tissues. Why the Test is PerformedThe test is performed to confirm herpes simplex infection. The diagnosis is often made by clinical examination rather than diagnostic testing. Normal ResultsIf there is no herpes virus present, none will grow in the culture medium. What Abnormal Results MeanAbnormal results may indicate active infection with herpes simplex virus or asymptomatic viral shedding. Herpes genitalis (genital herpes simplex) is an additional condition under which the test may be performed. RisksThe risks are slight bleeding or infection at the skin lesion site. ConsiderationsViral culture for herpes is a poor test and is often falsely negative (but extremely rarely falsely positive). That is, even with a negative result, the person could still have herpes. Newer herpes simplex fluorescent antibody testing may be an alternative. Please consult your doctor.
Review Date:
2/10/2006 Reviewed By: Kenneth Wener, M.D., Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, MA. Review provided by VeriMed Healthcare Network. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997-
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