title: Herpes simplex virus 1 infection on a reconstructive free flap.
abstract: OBJECTIVE
  Herpes simplex virus 1 (HSV1) is a widespread virus that primarily causes orofacial infection.
  
  
  METHODS
  We present a case of HSV1 infection on a free radial forearm flap used to reconstruct a palate defect. Initially, the free flap appeared healthy; however, after 48 hours the free flap appeared in distress, with dark red colour and fast capillary refill. Venous congestion was suspected, and the patient underwent a second operation where no vascular compromise was found. Vesicles were noted on the free flap; swabs revealed HSV1 infection.
  
  
  RESULTS
  Complete recovery of the free flap was achieved with acyclovir.
  
  
  CONCLUSIONS
  To the best of our knowledge, this is the first report of HSV1 infection on a free flap that was found to be responsible for the free flap appearing distressed.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Sir Charles Gairdner Hospital, Perth, Australia.
authors.forename: Simon P
authors.initials: SP
authors.lastname: Parys
authors.forename: Thea
authors.initials: T
authors.lastname: Leman
authors.forename: Reuven
authors.initials: R
authors.lastname: Gurfinkel