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Severe acute pharyngotonsillitis due to herpes simplex virus type 2 in an homosexual man – Report of A case and review of the literature

Volume 6, Issue 6, December 2021    |    PP. 394-399    |PDF (183 K)|    Pub. Date: October 7, 2021
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Author(s)
Michael Dan, Infectious Disease Clinic, Maccabi Health Services, Bat Yam, Israel and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
Eyal Yeheskeli, Department of Otolarygology-Head and Neck Surgery, Assaf Harofeh Medical Center, Zerifin, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Abstract
A 30-year-old homosexual man developed pharyngotonsillitis the severity of which necessitated hospitalization for parenteral fluid therapy. Subsequent to unsatisfactory clinical response to antibiotic therapy and the negative tests for group A Streptococcus, together with the ulcerative aspect of tonsillar lesions, the diagnosis of herpes simplex virus, type 2 (HSV-2) was made by polymerase chain reaction (PCR) testing, and was confirmed by serology. HSV-2 can be responsible for infections “above the waist”, and is accountable for up to 10 percent of oral herpeotic infections. Clinicians should consider HSV-2 as a potential cause of pharyngotonsillitis in sexually active individuals, especially if streptococcal culture is negative.

Keywords
herpes simplex virus, , herpes simplex virus, type 2, pharyngotonsillitis, genito-oral transmission, homosexuality

Cite this paper
Michael Dan, Eyal Yeheskeli, Severe acute pharyngotonsillitis due to herpes simplex virus type 2 in an homosexual man – Report of A case and review of the literature, SCIREA Journal of Clinical Medicine. Vol. 6 , No. 6 , 2021 , pp. 394 - 399 .

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