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

Michael Dan, Eyal Yeheskeli
2021 SCIREA journal of clinical medicine  
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. Unlike previous concept, HSV-2 can cause
more » ... ctions "above the waist", and is responsible for up to 10 percent of oral herpetic infections. Clinicians should consider HSV-2 as a potential cause of pharyngotonsillitis in sexually active individuals, especially if streptococcal culture is negative.
doi:10.54647/cm32524 fatcat:qq464w34sjdo3do6xyrwfemnk4