THE CASE: A 30-year-old man has had painful genital lesions for the past several days. He recently returned from a business trip during which he had several unprotected sexual encounters.
What is the most likely cause of the patient’s lesions?
•Herpes simplex virus (HSV) infection
(Answer and discussion begin on next page.)
FOR MORE INFORMATION:
•Clark, JL, Tatum NO, Noble SL. Management of genital herpes. Am Fam Physician. 1995;51:175-182.
•Ronald A, Alfa M. Chancroid, lymphogranuloma venereum, and granuloma inguinale. In: Gorbach S, Bartlett J, Blacklow N, eds. Infectious Diseases. 2nd ed. Philadelphia: WB Saunders Company; 1998:1012-1013.
•Rosen T, Brown TJ. Cutaneous manifestations of sexually transmitted diseases. Med Clin North Am. 1998;82:1081-1104.