HomeAnswersVenereologyfolliculitisCan the lesion on my genital during chicken pox be due to STD?

Is it possible that the lesion on my genital during chicken pox is due to STD?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At January 4, 2019
Reviewed AtFebruary 7, 2024

Patient's Query

Hello doctor,

I saw these lesions on my scrotum and outer genitals yesterday. I am currently on day 6 of chicken pox. What could these lesions possibly be from? Is this an sexually transmitted disease (STD)?

Hi,

Welcome to icliniq.com. Your concern is folliculitis. There are many reasons for it like dehydration to reverse shaving or low immunity of any cause. Start Metronidazole gel in the morning and T-bact (Mupirocin) ointment in the evening on the affected areas. If they resolved, ignore but if they flare then have a physical examination by a dermatologist nearby you. It is not sexually transmitted disease (STD).

Patient's Query

Hi doctor,

Thank you very much. Can these happen due to chicken pox? Also, do you think I need any sexually transmitted disease (STD) tests for these?

Hi,

Welcome back to icliniq.com. Herpes or chicken pox lesions will present as vesicles and will not affect hair usually. If there is any history of unprotected sexual exposure then plan for sexually transmitted disease (STD) profile. Enzyme-linked immunosorbent assay (ELISA) p24 assay, hepatitis B surface antigen assay, anti-hepatitis C antibodies assay, Venereal disease research laboratory (VDRL), herpes simplex virus (HSV) 1 and 2 IgG and IgM assay, complete urine examination. For these lesions, no need for further evaluation.

Patient's Query

Hello Doctor, I tested for herpes simplex virus (HSV) 1 & 2 IgM and IgG antibodies on Day 19 of a possible exposure and had the attached results. 2 days after the exposure, I had mild fever and 4 days after the exposure I had chicken pox blisters all over my body. I recovered in a week and the blisters have dried, but I did not see any cold sores or herpes lesions. Please advise the next course of action. Thank you

Hi IgM antibodies indicate recent infection. In few instances there may be cross reaction with normal antibodies in the body. Herpes simplex virus (HSV) 1 usually transmits through nasal or oral route and HSV 2 transmits through unprotected sexual exposure. Since there is no clear cut demarcation in your reports for which virus , either for type 1 or type 2 IgM is raised I recommend you to go for western bolt investigation after completing 7 days course of oral acyclovir medication. Start acyclovir 800mg tab 5 times in a day for 7 days. Have 2 glasses of water with each tablet. It’s very safe medication. If you notice any sort of discomfort during the treatment stop the medication immediately and report to general practitioner (GP) near by you. Get western bolt after 10 days post medication and report me.

Patient's Query

Thank you Doctor. Out of anxiety, I had already tested for Western Blot the next day and I'm waiting for the results. I had a few queries : 1. What does negative IgG mean ? Can IgG show positive by 3 weeks if a person is infected ? In my case, it's negative at 0.652 on Day 19 of the last sexual exposure. 2. I have read about people having IgM index as high as 16 to even beyond 20 where doctors have indicated acute infection. Can a low positive IgM index of 2.93 in my case represent a false positive ? 3. Is a cross-reaction possible between herpes simplex virus (HSV) and varicella zoster (VZV) ? I was tested for HSV on Day 15 of a chickenpox infection. I still have dry crusts on my back and belly. I am surprised about HSV because I never had any oral or genital herpes lesions apart from the mild lesions during chickenpox which subsided in 3-4 days. Also I have tested negative for human immunodeficiency virus (HIV) 4th Gen chemiluminescent microparticle immunoassay (CMIA) double antibody or antigen (DUO) at 0.19 on Day 19 of the last sexual exposure. Kindly advise.

Hi

1. IgG indicates previous infection in the past , say some months to years back. 2.IgM levels above standard levels can be considered as positive irrespective of its value 3.VZV and HSV are two different viral families. There may be cross reactivity with natural antibodies present in the body 4.dry crusts indicate that you are completely recovered from chicken pox. Let’s see western blot test results say and in your case previous reports might be false positive results .

Patient's Query

Hi Doctor, Here are the Western blot reports. Kindly advise.

Hi Start Acyclovir 800mg five times in a day for 7 consecutive days after food. Have plenty Of fluids during the course of medication. We can consider this report . Nothing serious , don’t worry. By treating aggressively during active phase of infection will reduce future chances of recurrence.

Patient's Query

Thank you doctor. Is it a confirmed infection ? Can I test for IgG again after a month ? Will it affect my sex life ? I am worried about it.

Hi

Western blot test results can be considered as positive results . Avoid sexual life for a week until you finish the antiviral course. Don’t repeat any sort of investigations, not required right now . Don’t worry. Start a new life and stay positive.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. G. S. S. Sandeep
Dr. G. S. S. Sandeep

Dermatology

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