Relapsing herpes simplex-2 folliculitis in the beard area.
We describe the case of a 52-year-old immunocompetent man with recurrent folliculitis on the left cheek, associated with intense pain. Bacteriological, mycological and Tzanck tests from the lesions were negative. Histopathological study showed an aspecific flogosis pattern. Virological tests carried out on swabs and paraffin-embedded tissue sections from the facial lesions by nested PCR technique (nPCR) demonstrated the presence of herpes simplex virus type 2 (HSV\2) in both samples. Skin swabs from other healthy areas of the face resulted negative for herpetic infection. A diagnosis of recurrent herpetic folliculitis by HSV\2 was made. This case report underlines that even in immunocompetent patients HSV\2 lesions can feature atypical clinical aspects. In dermatological assessment the benefits of routine PCR techniques for differential diagnosis of herpetic infection should be considered above all for the prompt initiation of antiviral therapy and appropriate patient management.
Foti
Caterina
C
Department of Internal Medicine, Immunology and Infectious Diseases, Unit of Dermatology, University of Bari, Policlinico, Piazza Giulio Cesare 11, 70124 Bari, Italy. c.forti@dermatologia.uniba.it
Filotico
Raffaele
R
Calvario
Agata
A
Conserva
Anna
A
Antelmi
Annarita
A
Angelini
Giovanni
G
D004279:DNA, Viral / Q000032:analysis; D003937:Diagnosis, Differential; D005148:Facial Dermatoses / Q000175:diagnosis* / Q000473:pathology / Q000821:virology; D005499:Folliculitis / Q000175:diagnosis* / Q000473:pathology / Q000821:virology; D006561:Herpes Simplex / Q000175:diagnosis* / Q000473:pathology / Q000821:virology; D018258:Herpesvirus 2, Human / Q000235:genetics / Q000302:isolation & purification*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016133:Polymerase Chain Reaction; D012008:Recurrence
D004279:DNA, Viral