STD: WHAT HERPES INFECTIONS CAN CAUSE
An initial herpes infection can occur in the anal and rectal area, most often after having received anal sex. This infection usually causes rectal pain and discharge, which may be bloody, and it can also cause fever, muscle aches, and changes in bowel movements. Recurrences of outbreaks can occur in the rectal area. Although HSV outbreaks inside the rectum usually occur as a result of receptive anal intercourse, herpes outbreaks can occur around the anal area even in someone who has other STDs also cause sores in the never received anal sex, because the nerve that supplies that area also supplies the genital area.
Herpes infections can cause more serious symptoms. For example, genital herpes outbreaks can cause inflammation of the lining of the spinal cord, called meningitis. Meningitis caused by herpes is a type of viral meningitis that is different from the often life-threatening bacterial meningitis. Signs of this infection are a stiff neck and pain in the eyes when looking at light. Most people who have a first infection with genital herpes have some inflammation of the spinal fluid, since the virus is in a nerve, but only a small percentage develop symptoms from this inflammation. For a very few people, the only symptom of recurrent herpes outbreaks is viral meningitis. Meningitis from herpes infections seldom causes any permanent problems, but it may recur, either with or without subsequent outbreaks.
Oral herpes infections can cause inflammation of the tissues of the brain, called encephalitis. Signs of this infection are headache, fever, confusion, seizures, and neurological impairment, depending on which area of the brain is affected. Encephalitis can result in permanent neurological symptoms. However, considering how common oral herpes infections are, this is a very uncommon complication.
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