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Apparent rarity of asymptomatic herpes cervicitis in a woman with intra-uterine contraceptive device

Adeola Fowotade, Abu Clement Okolo, Mohammed Mohammed Manga, Chinenye Gloria Anaedobe, Ayodeji Akeem Salami, Effiong Essien Udo Akang
  • Adeola Fowotade
    Medical Microbiology Department, University College Hospital; Medical Microbiology Department, College of Medicine, University of Ibadan, Nigeria | temilabike@yahoo.com
  • Abu Clement Okolo
    Pathology Department, College of Medicine, University of Ibadan, Nigeria
  • Mohammed Mohammed Manga
    Medical Microbiology Department, University College Hospital, Nigeria
  • Chinenye Gloria Anaedobe
    Medical Microbiology Department, University College Hospital, Nigeria
  • Ayodeji Akeem Salami
    Pathology Department, University College Hospital, Ibadan, Nigeria
  • Effiong Essien Udo Akang
    Pathology Department, College of Medicine, University of Ibadan, Nigeria

Abstract

Infection with genital herpes simplex virus (HSV) remains a common viral sexually transmitted disease, often subclinical and a major worldwide problem of women of reproductive age group. Herpes cervicitis is an unusual presentation of Herpes simplex virus infection in females. The finding of herpes cervicitis on routine pap smear of an asymptomatic woman on Intrauterine contraceptive device still further supports the need for increased awareness on the possibility of Herpes simplex virus infection among women, particularly those on Intrauterine contraceptive device. The index case is a 28 years old Nigerian female who was referred to our Special Treatment Clinic on account of an abnormal pap smear cytology which was in keeping with Herpes cervicitis. There was no history of genital ulcer in this patient; however ELISA for HSV 2 IgM was positive in her. We therefore describe a case of herpes cervicitis in an asymptomatic woman on intrauterine contraceptive device. This case highlights to clinicians the need to be aware of the possibility of this association and to carry out relevant investigations so as to identify and treat these patients appropriately. Therefore, there is a need to put in place adequate public health intervention strategy to prevent genital herpes in women of reproductive age group with a view to preventing the possibility of congenital herpes in subsequent pregnancy.

Keywords

herpes cervicitis, intra-uterine contraceptive device.

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Submitted: 2012-08-29 14:51:29
Published: 2013-12-17 12:29:38
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Copyright (c) 2013 Adeola Fowotade, Abu Clement Okolo, Mohammed Mohammed Manga, Chinenye Gloria Anaedobe, Ayodeji Akeem Salami, Effiong Essien Udo Akang

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