Cases reported "Herpes Genitalis"

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1/12. Disseminated herpes simplex virus infection in a renal transplant patient as possible cause of repeated urinary extravasations.

    Disseminated herpes simplex virus type 2 (HSV-2) infections are infrequent in patients receiving organ transplants, but usually have a poor outcome. We describe the case of a renal transplant patient who developed a disseminated HSV-2 infection with repeated urinary extravasations. The diagnosis was carried out using a multiplex polymerase chain reaction nested assay and it suggested HSV-2 as a possible cause of repeated urinary fistulas.
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keywords = urinary
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2/12. Use of type-specific HSV serology in the management of a 37-year-old woman diagnosed with primary genital herpes.

    A 37-year-old woman attended a Genitourinary medicine Clinic in london, UK, concerned about the reliability of a culture-based diagnosis of genital herpes that she had received while abroad. She was in a longterm monogamous relationship with a partner who recalled no history of genital herpes. She was unsure as to how she had acquired genital herpes and wished to know whether she was newly infected. Typespecific serological testing indicated a true primary herpes simplextype-2 (HSV-2) infection. The patient's partner did not attend the clinic but reported a (negative blood test for herpes) at a clinic elsewhere. No details were provided as to the type of assay used, so the possibility that this result was inaccurate cannot be ruled out. It is possible that he may have been an asymptomatic carrier of HSV (either HSV-2 or both HSV-1 and-2) or had mild unrecognized symptoms of genital HSV. This case highlights the advantages and pitfalls of using a type-specific serological test for the diagnosis of genital herpes and also the need for appropriate counselling. An initial explanation of the significance of the HSV culture result she received abroad may have reduced the patient's anxiety about the reliability of the initial diagnosis.
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ranking = 0.16666666666667
keywords = urinary
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3/12. Staghorn calculus presenting as sterile pyuria.

    urinary tract calculi are relatively common and usually symptomatic. We describe a patient who had several very unusual features with regard to his urinary tract calculus disease.
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ranking = 0.16666666666667
keywords = urinary
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4/12. Transient urinary retention and chronic neuropathic pain associated with genital herpes simplex virus infection.

    BACKGROUND: Genital herpes (GH) causes genital ulcer disease, severe transient pain, and often paresthesias. Whether or not GH can cause urinary retention or chronic neuropathic pain is not well known. methods: We present two immunocompetent patients with GH associated with neuropathic symptoms. We also review the literature on GH and associated neurologic problems. RESULTS: Patient 1 had primary herpes simplex virus (HSV)-2 infection with transient urinary retention and chronic bilateral neuropathic pain in the sacral area. Patient 2 had recurrent HSV-1 associated with unitaleral chronic neuropathic pain in the sacral area. Although transient urinary retention associated with GH is not uncommon, chronic neuropathic pain has not been reported previously. CONCLUSIONS: Our cases show that chronic neuropathic pain, that is "pain initiated or caused by a primary lesion or dysfunction in the nervous system," can follow genital HSV infection.
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ranking = 655.29254266853
keywords = urinary retention, retention, urinary
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5/12. Low-dose acyclovir for HSV-2 meningitis in a child.

    A 7-y-old girl with genital herpes following sexual abuse presented with dysuria, fever and meningeal signs. acyclovir (15 mg/kg/d for 10 d) was administered for severe genitourinary symptoms. The CSF culture was positive for HSV type 2. Complete resolution of all symptoms demonstrates that, as in adults, HSV-2 meningitis does not require high-dose or prolonged acyclovir therapy.
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ranking = 0.16666666666667
keywords = urinary
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6/12. Herpetic lumbosacral radiculoneuropathy in patients with human immunodeficiency virus infection.

    We report 4 cases of human immunodeficiency virus infection associated with lumbosacral radicular dysfunction and urinary retention. Three of these cases had the so-called Elsberg syndrome in that their symptoms were associated with genital herpes. In 1 case, different herpes simplex virus types were isolated from the cerebrospinal fluid and genital swabs. Lumbosacral radiculoneuropathy with urinary retention caused by herpes viruses can develop not only with an initial genital herpes infection, but also due to reactivation of a latent herpes virus.
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ranking = 187.22644076244
keywords = urinary retention, retention, urinary
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7/12. Elsberg syndrome: radiculomyelopathy and acute urinary retention in patient with genital herpes.

    We describe a case of a sexually active woman who presented acute urinary retention associated with herpes genitalis infection and with few other neurological signs. The outcome of the disease was positive. We stress the utility of a careful CSF examination.
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ranking = 468.06610190609
keywords = urinary retention, retention, urinary
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8/12. Acute urinary retention secondary to herpes simplex meningitis.

    We report a case of acute urinary retention in a 24-year-old man with herpes simplex meningitis without genital lesions. Since the differential diagnosis in young patients who present with acute urinary retention also includes multiple sclerosis, lumbosacral disk herniation, rheumatological disorders and drug intoxication, a thorough history and careful neurological examination are of paramount importance in distinguishing these syndromes. As part of a directed neurological evaluation prompt performance of lumbar puncture is indicated; a lymphocytic pleocytosis is suggestive of herpetic meningitis. culture of herpes simplex virus from the cerebrospinal fluid should be attempted. We recommend conservative management only, typically with intermittent catheterization, since bladder function usually normalizes within 10 to 14 days.
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ranking = 561.67932228731
keywords = urinary retention, retention, urinary
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9/12. Acute urinary retention in herpes genitalis infection. Urodynamic evaluation.

    Acute urinary retention in herpes genitalis infection is reported to be infrequent. We report 4 cases of acute urinary retention caused by neurologic complication of herpes infection. The urodynamic finding and follow-up results are presented.
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ranking = 561.67932228731
keywords = urinary retention, retention, urinary
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10/12. Retention of urine in genital herpetic infection. Survey and case report.

    During the last years several cases of acute urinary retention, due to genital herpetic infection, have been described, especially in youngsters. The condition is caused by neurogenic dysfunction due to a sacral meningomyelitis. The clinical picture before the acute attack is characterized by painful genital eruptions; fever and malaise; tender inguinal lymph nodes; paresthesia in the perineum and on the inside of the thigh, and obstipation. skin and mucous membrane manifestations are often sparse or located so that they are easily overlooked. The treatment is bladder drainage until the patient is able to void spontaneously. Most of the patients regain normal bladder function within 10 days, but bladder dysfunction for 5 weeks has been described. We present a typical case of acute urinary retention due to genital herpetic infection.
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ranking = 187.22644076244
keywords = urinary retention, retention, urinary
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