Siriraj Medical Journal (Jun 2018)
www.smj.si.mahidol.ac.th Volume 70, No.5: 2018 Siriraj Medical Journal 449 Case Report SMJ Sasit Fungtrakoon, M.D., Sukhum Jiamton, M.D., Ph.D., Viboon Omcharoen, B.Sc. Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.
Abstract
Objective: To report a case of uncommon site of chronic herpes infection in an HIV-infected male. Case presentation: A 19-year-old Thai HIV-infected male who was diagnosed with chronic herpes simplex infection located on the scalp and face without lesion in oral and genital areas. Conclusion: Chronic herpes simplex infection is predominantly located in oro-genital regions and presented as ulcerative lesions that frequently recur in immunocompromised patients. The prevalence is not known and HIV infection is a major risk factor. Misdiagnosis is common and might lead to delay of treatment. Oral acyclovir is the first line of treatment, although resistance to acyclovir has been found to be increasing.
