{"title":"一名小儿患者继发于爱泼斯坦-巴氏病毒的非性生殖器溃疡","authors":"Lien Morcate MD, MPH, Imani Sanders MD, Karen Chen Chen MD, Yurima Strubinger Galavis MD, Ines Villarroya-Marquina MD, Nadia Makkoukdji MD, Maura Alvarez MD, Jonathan Tolentino MD","doi":"10.1016/j.pedhc.2024.05.002","DOIUrl":null,"url":null,"abstract":"<div><div><span>This case report focuses on a rare presentation of Epstein-Barr virus as genital ulcers in a 14-year-old girl with no sexual activity history. Despite initial misdiagnosis and failed </span>acyclovir<span> treatment, investigations ruled out sexually transmitted causes but revealed elevated Epstein-Barr virus antibodies<span>. Subsequent treatment with a 14-day prednisone<span> course led to significant improvement. This case emphasizes the importance of considering nonsexual etiologies for genital ulcers to prevent delayed or inappropriate treatment and highlights the need for broader education on such atypical presentations.</span></span></span></div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 6","pages":"Pages 925-931"},"PeriodicalIF":2.5000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Nonsexual Genital Ulcers Secondary to Epstein-Barr Virus in a Pediatric Patient\",\"authors\":\"Lien Morcate MD, MPH, Imani Sanders MD, Karen Chen Chen MD, Yurima Strubinger Galavis MD, Ines Villarroya-Marquina MD, Nadia Makkoukdji MD, Maura Alvarez MD, Jonathan Tolentino MD\",\"doi\":\"10.1016/j.pedhc.2024.05.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div><span>This case report focuses on a rare presentation of Epstein-Barr virus as genital ulcers in a 14-year-old girl with no sexual activity history. Despite initial misdiagnosis and failed </span>acyclovir<span> treatment, investigations ruled out sexually transmitted causes but revealed elevated Epstein-Barr virus antibodies<span>. Subsequent treatment with a 14-day prednisone<span> course led to significant improvement. This case emphasizes the importance of considering nonsexual etiologies for genital ulcers to prevent delayed or inappropriate treatment and highlights the need for broader education on such atypical presentations.</span></span></span></div></div>\",\"PeriodicalId\":50094,\"journal\":{\"name\":\"Journal of Pediatric Health Care\",\"volume\":\"38 6\",\"pages\":\"Pages 925-931\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Pediatric Health Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0891524524001019\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH POLICY & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Health Care","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0891524524001019","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
Nonsexual Genital Ulcers Secondary to Epstein-Barr Virus in a Pediatric Patient
This case report focuses on a rare presentation of Epstein-Barr virus as genital ulcers in a 14-year-old girl with no sexual activity history. Despite initial misdiagnosis and failed acyclovir treatment, investigations ruled out sexually transmitted causes but revealed elevated Epstein-Barr virus antibodies. Subsequent treatment with a 14-day prednisone course led to significant improvement. This case emphasizes the importance of considering nonsexual etiologies for genital ulcers to prevent delayed or inappropriate treatment and highlights the need for broader education on such atypical presentations.
期刊介绍:
The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.