{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T06:16:06Z","timestamp":1792304166203,"version":"4.4.0"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>We report the case of a 28-year-old, HIV-positive woman presenting with painful vesicular and ulcerating lesions in the ano-genital region caused by varicella zoster virus that appeared similar to herpes simplex infection. The case highlights that herpes zoster needs to be considered in the differential diagnosis of genital lesions, particularly in HIV-positive individuals, and the importance of virological diagnosis by PCR to direct appropriate management.<\/jats:p>","DOI":"10.1136\/bcr-2013-009993","type":"journal-article","created":{"date-parts":[[2013,10,4]],"date-time":"2013-10-04T08:13:36Z","timestamp":1380874416000},"page":"bcr2013009993","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["A not so simplex case of genital herpes"],"prefix":"10.1136","volume":"2013","author":[{"given":"K E J","family":"Philip","sequence":"first","affiliation":[{"name":"Department of Virology, Royal Free London NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Goodman","sequence":"additional","affiliation":[{"name":"Department of HIV Medicine, Royal Free London NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S N S","family":"Pallawela","sequence":"additional","affiliation":[{"name":"Department of HIV Medicine, Royal Free London NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Sathia","sequence":"additional","affiliation":[{"name":"Department of HIV Medicine, Royal Free London NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D P","family":"Webster","sequence":"additional","affiliation":[{"name":"Department of Virology, Royal Free London NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,10,4]]},"reference":[{"key":"2025082803065442000_2013.oct04_1.bcr2013009993.1","first-page":"938","article-title":"Post-herpetic neuralgia: a review of advances in treatment and prevention","volume":"2013","author":"Young","year":"2006","journal-title":"J Drugs Dermatol"},{"key":"2025082803065442000_2013.oct04_1.bcr2013009993.2","unstructured":"Health Protection Agency. Trends in genital herpes infections, England: 2002\u20132011 . Health Protection Report, 2012 November vol 6 No. 48\u201330."},{"key":"2025082803065442000_2013.oct04_1.bcr2013009993.3","doi-asserted-by":"crossref","first-page":"2127","DOI":"10.1016\/S0140-6736(07)61908-4","article-title":"Genital herpes","volume":"2013","author":"Gupta","year":"2007","journal-title":"Lancet"},{"key":"2025082803065442000_2013.oct04_1.bcr2013009993.4","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1136\/sti.79.4.298","article-title":"Detection of varicella zoster virus in genital specimens using a multiplex polymerase chain reaction","volume":"2013","author":"Birch","year":"2003","journal-title":"Sex Transm Infect"},{"key":"2025082803065442000_2013.oct04_1.bcr2013009993.5","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1007\/s10156-012-0400-0","article-title":"Genital herpes zoster as a consequence of cancer chemotherapy-induced immunosuppression: report of a case","volume":"2013","author":"Gopalan","year":"2012","journal-title":"J Infect Chemother"},{"key":"2025082803065442000_2013.oct04_1.bcr2013009993.6","first-page":"625","article-title":"Postherapeutic neuralgia after shingles: an under-recognized cause of chronic vulvar pain","volume":"2013","author":"Oaklander","year":"2002","journal-title":"Obstet Gynaecol"},{"key":"2025082803065442000_2013.oct04_1.bcr2013009993.7","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1542\/peds.99.4.608","article-title":"Perianal herpes zoster presenting as suspected child abuse","volume":"2013","author":"Christian","year":"1997","journal-title":"Pediatrics"},{"key":"2025082803065442000_2013.oct04_1.bcr2013009993.8","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/S0196-0644(95)70365-9","article-title":"Varicella: pediatric genital\/rectal vesicular lesions of unclear origin","volume":"2013","author":"Simon","year":"1995","journal-title":"Ann Emerg Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-009993","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:07:04Z","timestamp":1756375624000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-009993"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,10,4]]},"references-count":8,"alternative-id":["10.1136\/bcr-2013-009993"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-009993","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,10,4]]}}}