Original article | Volume 33, Article 33, 16 May 2019 | 10.11604/pamj.2019.33.33.17292

Herpes Simple Virus proctitis: a diagnostic dilemma between anal disorders

Athanasios Syllaios, Spyridon Davakis

Corresponding author: Athanasios Syllaios, First Department of Surgery, Laiko General Hospital, National and Kapodistrian University of Athens, Greece

Received: 08 Oct 2018 - Accepted: 23 Apr 2019 - Published: 16 May 2019

Domain: Dermatology,Infectious disease,General surgery

Keywords: HSV, proctitis, anal

©Athanasios Syllaios et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Athanasios Syllaios et al. Herpes Simple Virus proctitis: a diagnostic dilemma between anal disorders. Pan African Medical Journal. 2019;33:33. [doi: 10.11604/pamj.2019.33.33.17292]

Available online at: https://www.panafrican-med-journal.com/content/article/33/33/full

Home | Volume 33 | Article number 33

Original article

Herpes Simple Virus proctitis: a diagnostic dilemma between anal disorders

Herpes Simple Virus proctitis: a diagnostic dilemma between anal disorders

Athanasios Syllaios1,&, Spyridon Davakis1

 

1First Department of Surgery, Laiko General Hospital, National and Kapodistrian University of Athens, Greece

 

 

&Corresponding author
Athanasios Syllaios, First Department of Surgery, Laiko General Hospital, National and Kapodistrian University of Athens, Greece

 

 

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A 72-year-old man was referred to our surgical out-patient department because of severe anal pain, anal bleeding and itching for the last 5 days. Clinical examination revealed severe efflorescence with painful ulcers around the anus. Laboratory examinations revealed slightly elevated white blood cells count (WBC's= 13.000). There was taken liquid culture from the ulcer and sent for bacterial and virous analysis. The virus culture was positive for Herpes Simple Virus (HSV) type 2. The patient received valacyclovir 500mg per os for 10 days in order to reduce the risk for expansion of the disease as well as for minimizing the frequency and the duration of the relapses as there is no definite treatment. The patient was relieved from the symptoms and the rushing was diminished approximately ten days after the initiation of the appropriate medication. As a result, a high suspicion from physicians is required to diagnose HSV proctitis and surgeons should be aware of sexually transmitted anal diseases for the early detection and appropriate management of those patients, as patients may first appear to surgical out-patient departments seeking for help.

 

 

Figure 1: Herpes Simple Virus (HSV) proctitis on suspicious anal ulcer-lesion

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

Herpes Simple Virus proctitis: a diagnostic dilemma between anal disorders

Original article

Herpes Simple Virus proctitis: a diagnostic dilemma between anal disorders

Original article

Herpes Simple Virus proctitis: a diagnostic dilemma between anal disorders

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Herpes Simple Virus proctitis: a diagnostic dilemma between anal disorders