scholarly journals An adolescent patient with perianal herpes as a finding of child abuse: Case report

Author(s):  
Merve Uysal ◽  
◽  
Melike Arslan ◽  
Ahmet Bolat ◽  
Necati Balamtekin ◽  
...  

Herpes Simplex Virus (HSV) type 1 and type 2, is transmitted via sexual or non sexual routes, leading to oral, genital or anal infections. HSV type 1 presents with oral lesions rather than genital lesions in small children. Therefore, in a child with type 1 infection in genital or anal region, the probability of auto-inoculation from oral lesion should be considered. As to genital or anal HSV type 2 infection is transmitted mostly via sexual route, non-sexual auto-inoculation not being described for it. Such infections detected in anal and genital regions in children suggest sexual abuse. The aim of this case report is to present and discuss an adolescent patient with herpetic vesicles in perianal regions who was subjected to sexual abuse.

Author(s):  
Hideki Nakagawa ◽  
Toshiyuki Kusuyama ◽  
Makoto Miyamoto ◽  
Koichiro Saito ◽  
Shunya Ikeda

Key points 1. This is the first report of adult primary herpetic oropharyngitis in the view point of the differences between the two types of herpes simplex virus (HSV). 2. 41 (25 type 1 and 16 type 2) HSV specific antigen positive cases among 68 immunoserologically confirmed adult HSV primary infection cases were investigated. 3. Significantly low incidence of oral lesions and high incidence of nausea were seen in HSV type 2 oropharyngitis cases, that might mean particular correlation vagus nerve and HSV type 2. 4. Significantly increased white blood cell count and high C-reacative protein value were seen in oropharyngitis by HSV type 2. 5. HSV type 2 possibly cause more severe symptoms and higher inflammatory reactions than type 1, without oral lesions.


2002 ◽  
Vol 82 (2) ◽  
pp. 118-120 ◽  
Author(s):  
Gun-Britt Löwhagen ◽  
Petra Tunbäck ◽  
Tomas Bergström

1999 ◽  
Vol 37 (8) ◽  
pp. 2717-2718 ◽  
Author(s):  
Jan-Åke Liljeqvist ◽  
Bo Svennerholm ◽  
Tomas Bergström

The purpose of this study was to evaluate the performance of a herpes simplex virus (HSV) type 1-specific anti-glycoprotein C-1 monoclonal antibody (MAb) and a type 2-specific anti-glycoprotein G-2 MAb for typing of 2,400 clinical HSV-1 isolates and 2,400 clinical HSV-2 isolates, respectively, using an enzyme immunoassay. The anti-HSV-1 MAb showed sensitivity and specificity of 100%, and the anti-HSV-2 MAb showed a sensitivity of 99.46% and 100% specificity, indicating that these MAbs are suitable for typing of clinical HSV isolates.


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