性行為によって感染した２型単純ヘルペス・ウイルスによる急性へん桃炎

• 小川 浩司

  北里研究所病院耳鼻咽喉科

• 山崎 嘉司

  慶応義塾大学医学部耳鼻咽喉科学教室

• 橋口 一弘

  慶応義塾大学医学部耳鼻咽喉科学教室

書誌事項

タイトル別名

• Acute tonsillitis caused by sexually transmitted herpes simplex virus type 2.
• ヘルペス・ウイルスによる急性扁桃炎

抄録

Because of changes in sexual mores, the oral cavity is increasingly becoming the site of primary infection for sexually transmitted diseases. A 28-year-old man who had severe tonsillitis needed hospitalization for parenteral fluid therapy. The tonsils were red and edematous without lacunar exudates. There was a shallow ulcerative lesion on the right posterior pillar. He had engaged in orogenital sex (cunnilingus) two weeks previously. Culturing swab from the ulcerative lesion and immunofluorescent technique showed herpes simplex virus type 2. The initial leukocyte count was 6400/mm₃ with 56% neutrophils, 23% lymphocytes and 21% monocytes. Interestingly, the serum anti-EB virus titer was elevated during the acute phase (VCA γ-G 1 : 80 initially and1 : 20 in the convalescent phase). It seemed likely that endogenous reactivation of latent EB virus occurred in the tonsillar B-lymphocytes in a heterogenous response to HSV-2. One month later culturing swab from the tonsil was negative and the serum titer of anti-HSV type 2 was 1 : 4.

収録刊行物

• 耳鼻咽喉科臨床

  耳鼻咽喉科臨床 81 (1), 79-83, 1988

  耳鼻咽喉科臨床学会

キーワード

• herpes simplex virus type 2 (HSV-2)
• orogenital sex
• monocytosis

詳細情報

• CRID: 1390282679241108736
• NII論文ID: 130001810760
• DOI: 10.5631/jibirin.81.79
• ISSN: 18844545
• ISSN: 00326313
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可