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Herpes Simplex Virus
Red papules progressing to vesicles to painful coalescent ulcers
27 yo female, compaining of fever, malaise, and tender inguinal area. She claimed to have a one night stand with a guy she met from a bar 4 nights ago. What is your diagnosis? What are the characteristics of the lesions that you will expect to see in the patient's genitals?
Herpes simplex virus
Cyropathic changes consists of multinucleated squamous cells containing eosinophilic and basophilic viral inclusions with a ground glass appearance
Molluscum contagiosum
Pearly dome shaped papules with a dimpled center with central waxy core containing cells with cytoplasmic viral inclusions
MCV 2
Molluscum contagiosum that is most often sexually transmitted
Fungal infections (Candida)
Pseudospores or filamentous hyphae on Pap smear
Vulvovaginal pruritus, erythema, swelling and curdlike vaginal discharges
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