title: Simultaneous genital ulcer and meningitis: a case of EBV infection.
abstract: The Epstein-Barr virus (EBV) is associated with a broad spectrum of diseases, mainly because of its genomic characteristics, which result in different latency patterns in immune cells and infective mechanisms. The patient described in this report is a previously healthy young man who presented to the emergency department with clinical features consistent with meningitis and genital ulcers, which raised concern that the herpes simplex virus was the causative agent. However, the polymerase chain reaction of cerebral spinal fluid was positive for EBV. The authors highlight the importance of this infection among the differential diagnosis of central nervous system involvement and genital ulceration.
authors.affiliation: Internal Medicine Department - Hospital das Clínicas - Universidade de São Paulo - São Paulo/SP - Brazil .
authors.forename: Hassan
authors.initials: H
authors.lastname: Rahhal
authors.affiliation: Internal Medicine Department - Hospital das Clínicas - Universidade de São Paulo - São Paulo/SP - Brazil .
authors.forename: Jairo Tavares
authors.initials: JT
authors.lastname: Nunes
authors.affiliation: Internal Medicine Division - Hospital Universitário - Universidade de São Paulo - São Paulo/SP - Brazil .
authors.forename: Leonardo da Costa
authors.initials: Lda C
authors.lastname: Lopes
authors.affiliation: Internal Medicine Division - Hospital Universitário - Universidade de São Paulo - São Paulo/SP - Brazil .
authors.forename: Aleksander Snioka
authors.initials: AS
authors.lastname: Prokopowitsch
keywords: Epstein-Barr Virus Infections; Genital Diseases; Meningitis, Viral; Ulcer