A 25-year-old woman presents to her primary medical provider with fever,
headache, myalgias, and dysuria. She has been sexually active with a single partner
who has never been diagnosed with sexually transmitted infection. She is diagnosed
with primary genital herpes confirmed by isolation of HSV-2 virus in cell culture.
Which of the following statements is false?
[hide]A. Most people infected with HSV-2 have not been diagnosed
B. Treatment eradicates the herpes simplex virus
C. Testing for HIV infection should be considered
D. Both HSV-1 and HSV-2 cause genital infections
E. Recurrence is less frequent with HSV-1 compared to HSV-2
Answer: B. Asymptomatic herpes simplex virus infection is common. Firstepisode
primary genital infection may be caused by HSV-1 or HSV-2. Recurrence
rates with HSV-1 and HSV-2 are 55% and 90%, respectively. Treatment does not
eradicate the virus. HIV testing should be considered in all patients presenting with a
sexually transmitted disease.[/hide]
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