Necrotizing genital ulcerations in a premenarcheal female with mononucleosis.

Abstract

BACKGROUND Two cases of genital ulcerations caused by Epstein-Barr virus have been reported previously, one in a sexually active 23-year-old and another in a 14-year-old practicing cunnilingus. CASE We report a case of Epstein-Barr virus genital ulcerations in a premenarcheal virgin. Her systemic symptoms were atypical for mononucleosis. Necrotizing genital ulcerations preceded pharyngitis and oral lesions. Cervical adenopathy, fever, and splenomegaly never developed despite serologic evidence of acute mononucleosis. CONCLUSION Genital ulcerations can be the initial manifestation of Epstein-Barr virus in adolescents who are neither sexually active nor immunocompromised.

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@article{Hudson1998NecrotizingGU, title={Necrotizing genital ulcerations in a premenarcheal female with mononucleosis.}, author={Lodores Hudson and Sally E Perlman}, journal={Obstetrics and gynecology}, year={1998}, volume={92 4 Pt 2}, pages={642-4} }