Abstract
An 18-year-old girl attended the surgery with complaints of frequency of micturition and dysuria for 24 hours. She was distressed, but not ill in herself, and gave no previous history of similar symptoms or urinary infections. Abdominal examination was normal, but on inspecting the perineum, a mass of discrete, coalescing ulcers was seen (Figure 1). A diagnosis of herpes simplex was made and a swab taken from the area for culture and identifi cation of the type of herpes virus involved. Treatment was prescribed, in the form of an analgesic and topical local anaesthetic, to ease the pain and a course of aciclovir to deal with the infection. She was also referred to the genitourinary clinic so that she could be fully checked for any other associated sexually transmitted infection.
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