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Plaquing of Herpes Simplex Viruses
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Zosteriform herpes simplex.

M J A Koh1, P P Seah, R Y L Teo

  • 1Department of Dermatology, Changi General Hospital, 2 Simei Street 3, Singapore 529889. docmark@pacific.net.sg

Singapore Medical Journal
|February 28, 2008
PubMed
Summary
This summary is machine-generated.

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Recurrent herpes simplex virus (HSV) infections can mimic herpes zoster, leading to misdiagnosis. Laboratory tests confirmed HSV type 2 in a patient initially treated for shingles.

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Virology

Background:

  • Herpes simplex virus (HSV) commonly affects oral, perioral, and genital areas but can manifest elsewhere.
  • Following primary infection, HSV establishes latency in nerve ganglia and can reactivate due to various triggers.
  • Recurrent HSV reactivation may present in a dermatomal pattern, mimicking herpes zoster and potentially leading to misdiagnosis.

Purpose of the Study:

  • To report a case of recurrent herpes simplex virus type 2 mimicking herpes zoster.
  • To highlight the importance of laboratory confirmation in cases of suspected recurrent zosteriform eruptions.

Main Methods:

  • Clinical case presentation of a 65-year-old man with recurrent zosteriform eruptions.
  • Initial clinical diagnosis and treatment for recurrent herpes zoster.

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  • Laboratory investigations to confirm the causative agent.

    • Main Results:

    • The patient presented with recurrent episodes initially diagnosed as herpes zoster.
    • Laboratory investigations revealed the cause to be recurrent herpes simplex virus type 2 infection.
    • The clinical presentation mimicked herpes zoster due to the dermatomal distribution of the eruption.

    Conclusions:

    • Recurrent herpes simplex virus infections can present atypically, mimicking other conditions like herpes zoster.
    • Dermatomal eruptions require laboratory confirmation to differentiate between HSV and herpes zoster.
    • Accurate diagnosis through laboratory testing is crucial for appropriate patient management and treatment.