Genital Herpez
28/f such eruption on vulva and lips burning sensation with pain.. since 1 wk hiding history of unprotected sexual contact with another partner as she is married. husband do not suffer with similar complaints.. I'm thinking it to be 1. genital herpes 2. syphilis.. please share ur expert opinions on the case
More likely herpes progenalis by unprotected sex as well as oral sex It is HPV R/o HIV1&2 Treat for herpes Tab acyclovir 800mg 5times a day for 7days and tapper off gradually and keep on maintenance dose for couple of months Tab azithromycin500mg 1od Tab Levocetrizine5mg 1bd Locally acyclovir oint 5times a day Keep followup
More likely herpes progenalis by unprotected sex as well as oral sex It is HPV R/o HIV1&2 Treat for herpes Tab acyclovir 800mg 5times a day for 7days and tapper off gradually and keep on maintenance dose for couple of months Tab azithromycin500mg 1od Tab Levocetrizine5mg 1bd Locally acyclovir oint 5times a day Keep followup
Mostly vaginal images shows : HERPETIC EROUPTION AND SORE Face lip images shoes : look like herpetic lesion or cold chanker Mostly diagnosis 1) HERPES INFECTION 2) SYPHILIS or CHANKER 3)CHANKROID
Genital herpes is a sexually transmitted infection (STI) passed on through vaginal, anal and oral sex Early symptoms and signs of genital herpes tend to develop within 3 to 7 days of skin-to-skin contact with an infected person. This 3 to 7 day period is known as the incubation period. Genital herpes infections look like a rashcomposed of small blisters or ulcers (round areas of broken skin) on the genitals. Each blister or ulcer is typically only 1 to 3 millimeters (1/32 inch to 1/8th inch) in size, and the blisters or ulcers tend to be grouped into "crops." Usually, the blisters form first, then soon open to form ulcers. Herpes infections may be painless or slightly tender. In some people, however, the blisters or ulcers can be very tender and painful. Location of genita
? VULVOVAGINITIS.. ? HERPES GENITALIS.. ? STD .. BETTER TO INVESTIGATE WITH.. HEMOGRAM.. URINE ROUTINE.. VDRL.. TRIDOT.. SWAB C AND S EXAMINATION..
Marked ulceration. Send blood for HIV & VDRL It can be Herpes Genitalis So tt with local application of Acyclovir gel Oral Acyclovir 200 mg 5 times in aday Build up immunity with Antioxidants Tab Levocetrizine 1 od Once y get the reports put her on Specific tt Clindamycin 300 mg bd for 5 days
SUGGESTIVE. OF.... IMMUNOCOMPROMISED....??? POSSIBLY... HERPETIC LESIONS ADVISABLE.... COMPLETE . SCREENING
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