[Question #11175] HSV-2 on lower back?

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16 months ago
Hi:

I'm a 50 year old male.  In August of last year I had an STD panel at the request of a partner - all clear except for HSV-1 which I have had on my lower lip since my teens.  My partner was also  free from STIs.  Aside from her, I have only had sex with 2 partners since the STD panel, and always properly using a condom.

Fast forward to last month, on Friday, March 15 I had protected sex with a new partner - I do not know her STI status.  Very briefly, before donning the condom, she rubbed on the shaft of my penis with her genital area - maybe for 10 seconds.

Ten days later, on Monday, March 25, I was at my dermatologist having a mole checked out on my back.  She pointed out a cluster of 16 red dots roughly in a circle about 2 inches in diameter, a 2-3 inches above my right buttock.  She said "I think you have some kind of bug bite going on here."  The red dots are round, maybe 1.5 mm to 2 mm in diameter, have never appeared full of fluid, and have not blistered, but are still visible today.  They never really itched.  I don't think I would have noticed them at all had she not pointed them out.  Today, two weeks after the dermatology appointment, they are starting to fade away.  A master of self-diagnosis, I just found out on the internet about sacral herpes.

Could this be an outbreak of sacral HSV-2?  I never had any symptom of any kind in my genital area. Could a first outbreak of HSV-2 happen within about a week of exposure, but only on my lower back?  How likely would that be?

Thanks in advance for your response.






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Terri Warren, RN, Nurse Practitioner
16 months ago
So are you saying that the dermatologist never swab tested them at all?
I doubt that you have genital HSV 1 because you have oral HSV 1
Also, if you have a newly acquired  HSV infection, it would show up in the location that was expose - in your case, your penis.  With both of you testing negative (and I assume she was also tested for HSV), I think these dots are unlikely to be HSV

Terri
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16 months ago
Hey I'm sorry - I wasn't super clear on my history.  I had the STI test with a partner last year.  This March 15 encounter was with a first-time sexual partner.  I mentioned the STI test just because I feel like, as of March 15 with the new partner, I believe I was clear of STI aside from HSV-1.  I don't know the STI status of my March 15 partner.  

I think you answered my question though.  If I was uninfected with HSV-2 on March 15, then it's unlikely that a group of red dots on my back one week later are sacral herpes, especially given the absence of any symptoms at the site of infection.

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Terri Warren, RN, Nurse Practitioner
16 months ago
OK, I appreciate that clarification, thank you.  So that makes it more clear to me that if you were negative for HSV 2 prior to this encounter, that this encounter would not result in a new infection that presents on your lower back

Terri
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16 months ago
Terri:
I think, based on your previous communication, that you meant "would not result in a new infection that presents on your lower back."  If that's correct, then you have fully answered my question and can close this thread.  Thanks again for all you do!


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Terri Warren, RN, Nurse Practitioner
16 months ago
Yes, sorry, you are correct (and I made the change)  
Terri
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