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Clinical Note
JAMA. 1978;239(18):1885-1886. doi: 10.1001/jama.1978.03280450057028

Acute Pharyngotonsillitis Caused by Herpesvirus Type 2

  1. Edward J. Young, MD;
  2. Bernardo Vainrub, MD;
  3. Daniel M. Musher, MD;
  4. Andrew G. Kumpuris, MD;
  5. Gonzalo Uribe, MD;
  6. Phyllis Gyorkey, MA;
  7. Kyung-Whan Min, MD;
  8. Ferenc Gyorkey, MD
  1. From the Departments of Medicine (Drs Young, Vainrub, Musher, Kumpuris), and Pathology (Drs Uribe, P. Gyorkey, Min, and F. Gyorkey), Veterans Administration Hospital and Baylor College of Medicine, Houston.

Since this article does not have an abstract, we have provided the first 150 words of the full text.

Excerpt

HERPES simplex virus (HSV) type 1 is now recognized as a common nonbacterial cause of acute pharyngitis in young adults.1 Herpes simplex virus type 2 is most often associated with urogenital infections of men or women and is generally transmitted venereally.4 Acute exudative pharyngitis and tonsillitis developed in a bisexual man following oral-genital sex with male and female partners. Herpes simplex virus type 2 was recovered from the pharynx and identified in a biopsy specimen of tonsillar tissue.

Report of a Case A 25-year-old bisexual man had fever, chills, odynophagia, and inability to swallow oral secretions for four days. He had received one dose of intramuscularly administered penicillin and had taken ampicillin orally for three days without relief. He had engaged in oral-genital sex with male and female partners ten days previously. He denied previous oral or genital herpes but had been treated for syphilis in the past.

Footnotes

  • Reprint requests to Veterans Administration Hospital, 2002 Holcombe Blvd, Houston, TX 77211 (Dr Young).

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