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Herpes Genitalis Dengan Gambaran Klinis Tidak Khas Pada Penderita Aids (Atypical Genital Herpes In An AIDS Patient
A case of genital herpes with atvpical clinical feature in a 27-year-old man with AIDS was reported. The patient presented with multiple shallow ulcers in the pubic area, peniJe shaft, and 1/3 upper scrotum, with irregular shape, without induration, nor poin. The working diagnosis of nonspecific genital ulcer was made after the differential diagnoses of various etiologies were eliminated through further examination. On the sixth month of follow-up, there were new lesions found around the qenitot ulcers, which were vestctes. erosions, and excoriations, thereiore the working diagnosis turn ed to genital herpes. Result from second serological examination revealed positive anti-HSV2 lgM, and positive anti-HSV2 IgG. Topical treatment consisted of compress and systemic antibiotic was also given based on resistency test result. Then, 400 mg acyclovir 5 times daily was qiven after the working diagnosis of genital herpes was established.
Keywords: Herpes genitalis, AlD5, Therapy
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