title: Non-healing genital herpes mimicking donovanosis in an immunocompetent man.
abstract: Although atypical presentations of herpetic infection in immunocompetent individuals are common, they very rarely have the extensive, chronic and verrucous appearances seen in the immunocompromised host. We report a case of genital herpes manifesting as painless chronic non-healing genital ulcers with exuberant granulation tissue in an immunocompetent man. Owing to this morphology, the ulcers were initially mistaken for donovanosis. To the best of our knowledge, such a presentation of genital herpes in an immunocompetent individual has not been described previously.
authors.affiliation: Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India omeshgupta@hotmail.com.
authors.forename: Vishal
authors.initials: V
authors.lastname: Gupta
authors.affiliation: Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Prakash
authors.initials: P
authors.lastname: Khute
authors.affiliation: University of Bristol, Bristol, UK.
authors.forename: Anjali
authors.initials: A
authors.lastname: Patel
authors.affiliation: Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Somesh
authors.initials: S
authors.lastname: Gupta
mesh_terms: D000212:Acyclovir / Q000627:therapeutic use; D000998:Antiviral Agents / Q000627:therapeutic use; D002157:Calymmatobacterium / Q000302:isolation & purification; D003937:Diagnosis, Differential; D006100:Granuloma Inguinale / Q000175:diagnosis; D015497:HIV-1; D006558:Herpes Genitalis / Q000175:diagnosis* / Q000188:drug therapy / Q000821:virology; D018259:Herpesvirus 1, Human; D018258:Herpesvirus 2, Human / Q000187:drug effects / Q000302:isolation & purification*; D006801:Humans; D007121:Immunocompetence; D008297:Male; D016133:Polymerase Chain Reaction; D018139:Simplexvirus; D016896:Treatment Outcome; D014456:Ulcer / Q000188:drug therapy
chemical_list: D000998:Antiviral Agents; D000212:Acyclovir
keywords: Herpes simplex virus; atypical manifestations; genital herpes; immunocompetent; sexually transmitted infections