title: Herpes simplex virus following stab phlebectomy.
abstract: Herpes simplex virus infection following surgery is an unusual postoperative phenomenon. Many mechanisms have been suggested, with the most likely explanation related to latent virus reactivation due to a proinflammatory response in the setting of local trauma. Here, we present a case of herpes simplex virus reactivation in an immunocompetent female following a conventional right lower extremity stab phlebectomy. Salient clinical and physical examination findings are described, and management strategies for herpes simplex virus reactivation are outlined. This is the first known case report of herpes simplex virus reactivation following lower extremity phlebectomy.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Johns Hopkins Vein Center, Johns Hopkins Medical Centers, Baltimore, MD, USA.
authors.forename: Caitlin W
authors.initials: CW
authors.lastname: Hicks
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Johns Hopkins Vein Center, Johns Hopkins Medical Centers, Baltimore, MD, USA.
authors.forename: Ying Wei
authors.initials: YW
authors.lastname: Lum
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Johns Hopkins Vein Center, Johns Hopkins Medical Centers, Baltimore, MD, USA.
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Heller
mesh_terms: D000328:Adult; D005260:Female; D006561:Herpes Simplex / Q000209:etiology* / Q000473:pathology*; D006801:Humans; D018139:Simplexvirus / Q000502:physiology*; D014648:Varicose Veins / Q000473:pathology* / Q000601:surgery*; D014775:Virus Activation
keywords: Herpes simplex virus; phlebectomy; superficial venous procedure