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Gladiatorum herpes simplex virus in Child
Other Resources UpToDate PubMed

Gladiatorum herpes simplex virus in Child

Contributors: Susan Burgin MD, Belinda Tan MD, PhD, Whitney A. High MD, JD, MEng
Other Resources UpToDate PubMed


Herpes simplex virus (HSV) gladiatorum (HSVG), or herpes gladiatorum, is an HSV infection arising from nonsexual physical contact such as wrestling or other sporting activities. The causative agents for HSVG are the same viruses that cause classic herpes simplex: HSV-1 and HSV-2.

The exact incidence of herpes gladiatorum is not known, but usually it afflicts young and active individuals engaged in contact sports. The disease typically presents with an incubation period of about 3-5 days, followed by the eruption of painful grouped vesicles on an erythematous base. HSVG usually presents on the torso, legs, shoulders, neck, or forearms. In one large outbreak occurring at a high school wrestling training camp, HSVG was identified in 60 of 175 wrestlers, and most lesions were present on the head (73%), the extremities (42%), and the trunk (28%). Autoinoculation may result in infection at multiple sites on the body.

Depending on the intensity of the host response, a primary herpes infection, including HSVG, may be accompanied by systemic manifestations including fever, sore throat, headache, and lymphadenopathy.

Like all other HSV infections, the condition resolves with dormancy in the dorsal ganglia. During future periods of reduced immune function, repeat eruptions will occur in the same anatomic area as the primary infection. Scarring may also result from the eruption, and lesions close to the eyes may lead to herpes keratitis, an ophthalmologic emergency.


B00.1 – Herpesviral vesicular dermatitis

240475000 – Cutaneous herpes simplex infection

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Last Reviewed:01/30/2017
Last Updated:01/26/2017
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Gladiatorum herpes simplex virus in Child
A medical illustration showing key findings of Gladiatorum herpes simplex virus : Grouped configuration, Painful skin lesions, Wrestler, Umbilicated vesicles
Clinical image of Gladiatorum herpes simplex virus - imageId=1919336. Click to open in gallery.  caption: 'A cluster of vesicles on the lateral cheek.'
A cluster of vesicles on the lateral cheek.
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