Severe acute pharyngotonsillitis due to herpes simplex virus type 2 in a young woman

被引:7
作者
Rosain, Jeremie [1 ]
Froissart, Antoine [2 ]
Estrangin, Elisabeth [3 ]
Rozenberg, Flore [1 ]
机构
[1] Hop Cochin, AP HP, Serv Virol, F-75014 Paris, France
[2] CHI Creteil, Serv Med Interne, Creteil, France
[3] CHI Creteil, Lab Microbiol, Creteil, France
关键词
HSV-2; Pharyngotonsillitis; Primary infection; Sexually transmitted disease; PRIMARY INFECTION; MANIFESTATIONS; VIREMIA;
D O I
10.1016/j.jcv.2014.12.013
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Whereas herpes simplex virus type 1 (HSV-1) is a recognized cause of acute oropharyngeal infection in young adults, HSV-2 infections are mostly associated with genital symptoms. We report a case of acute and prolonged febrile ulcerative pharyngotonsillitis with inflammatory syndrome which persisted despite antibiotic therapy for 8 days and required hospitalization in an 18-year old immune competent and sexually active female patient. HSV-2 was evidenced in tonsillar samples and blood by real time PCR, and HSV type-specific serology showed HSV-2 primary infection. Despite delayed diagnosis, acyclovir treatment led to rapid clinical improvement. This case highlights HSV-2 as an unusual cause of pharyngotonsillitis that should be reminded in sexually active patients. (C) 2014 Elsevier B.V. All rights reserved.
引用
收藏
页码:63 / 65
页数:3
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