Philip K E J, Goodman A, Pallawela S N S, Sathia L, Webster D P
Department of Virology, Royal Free London NHS Foundation Trust, London, UK.
BMJ Case Rep. 2013 Oct 4;2013:bcr2013009993. doi: 10.1136/bcr-2013-009993.
We report the case of a 28-year-old, HIV-positive woman presenting with painful vesicular and ulcerating lesions in the ano-genital region caused by varicella zoster virus that appeared similar to herpes simplex infection. The case highlights that herpes zoster needs to be considered in the differential diagnosis of genital lesions, particularly in HIV-positive individuals, and the importance of virological diagnosis by PCR to direct appropriate management.
我们报告了一例28岁的HIV阳性女性病例，该患者在肛门生殖器区域出现由水痘带状疱疹病毒引起的疼痛性水疱和溃疡性病变，这些病变看似单纯疱疹感染。该病例强调，在生殖器病变的鉴别诊断中需要考虑带状疱疹，尤其是在HIV阳性个体中，以及通过聚合酶链反应（PCR）进行病毒学诊断以指导适当治疗的重要性。
