RT Book, Section
A1 Mayeaux, Jr., E.J.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164354022
T1 Herpes Simplex
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK accessmedicine.mhmedical.com/content.aspx?aid=1164354022
RD 2024/04/24
AB A  32-year-old  man  presents  with  complaints  of  a  1-week  history  of  multiple  painful  vesicles  on  the  shaft  of  his  penis  associated  with  tender  groin  adenopathy  (Figure  135-1).  The  vesicles  broke  2  days  ago  and  the  pain  has  increased.  He  had  similar  lesions  1  year  ago  but  never  went  for  a  healthcare  examination  at  that  time.  He  has  had  3  different  female  sexual  partners  in  the  past  2  years  but  has  no  knowledge  of  them  having  any  sores  or  diseases.  He  was  given  the  presumptive  diagnosis  of  genital  herpes  and  a  course  of  acyclovir.  His  herpes  polymerase  chain  reaction  (PCR)  came  back  positive,  and  his  rapid  plasma  reagin  (RPR)  and  HIV  tests  were  negative.