Herpes genitalis

#1Infectious Diseases

Herpes genitalis

RC(b)RC(s)KL(s)RCKL
Patient, 40 years old, was admitted to the clinic with a diagnosis of Herpes genitalis complicated by secondary immunodeficiency.

History: According to the patient, four years ago, after an accidental sexual encounter, vesicular eruptions appeared on the glans penis, accompanied by a burning sensation and itching. He underwent multiple courses of antiviral therapy, but with no significant improvement.

Complaints upon admission: Vesicular eruptions on the glans penis, burning sensation, itching, pain after sexual intercourse, fever, and frequent prolonged ARVI (acute respiratory viral infections).

Examination: The glans penis was swollen with an erythematous background. There were grouped vesicular eruptions containing clear fluid, some of which had ruptured, forming extremely painful erosions.

Treatment:
  • RC(b) – 7 minutes
  • RC(s) in the inguinal area – 10 minutes
  • Kl(b) – 15 minutes
  • KL(s) on the hypothalamus – 5-7 minutes
  • Duration: 10 days
Results:
  • Swelling, erythema, and itching disappeared by day 3
  • Vesicular eruptions resolved completely by day 5
  • Body temperature normalized by day 8
  • Erosions fully epithelialized by day 10