[Question #1399] Herpes

46 months ago
36m I've been in a faithful relationship for 10 years! I know for a fact that my wife never strayed.. 4 months ago I got a sore just outside my anus, had a bad case of jock itch at the same time so I thought it was just from that, it  heals and 4 months later came back again, went to ER they said it was a fissure, I made them swab  for me herpes bc a lot of the pics online looked similar  but I never had blisters before the sore..waiting on result, meanwhile I got a iGG blood test that came back negative for hsv1 and abnormal/positive for HSV2. Could this be inaccurate? Never had any outbreaks at all, and then 10 years later? Is that possible?  Why would it be on my anus when  I never had anal intercourse I am a strait male? Thank you and sorry for the graphic description.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
46 months ago
Do you have the exact number associated with your positive HSV 2?  That is an important thing so we can determine if this test is a low positive and might need confirmation.  However, if the swab test is positive for HSV 2, that is not necessary at all.  If you have a sore that recurs with intervals of 4 months, it certainly could be herpes.  Or it could be a fissure as the doc said, but I am suspicious.
The reason it could come out on the anus is that once the herpes virus goes into the body through the genitals, it can come out with recurrences anywhere in the boxer shorts area, including the anus.  Contact does not need to occur in the anal area to have an outbreak there. 

Please let me know the results of your swab when you get them, and also try to find out the index value and also try to find out if the swab test done was a culture or PCR.

Terri
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46 months ago
My level was 1.94, is that low?  I have to wait until Monday for the swab confirmation, at that time I will let you know, also wanted to add the dr said she was 90% sure it was a fissure and told me to put aquaphor on it, I did and it was pretty much healed in 2 days... can you also let me know if hsv2 can pop up out over 10 years? Thank you 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
46 months ago
You could have had HSV 2 for many years and not know it, correct. 
The 1.94 is indeed a low positive and needs confirmation by a herpes western blot.  You can Google University of Washington herpes western blot and you will find the number to call and get a kit sent to you that your primary provider can use to draw your blood and return it to UW for this confirmatory test.  At 1.94, there is about a 50-50 chance that this is a false positive, but again if the swab test is positive, that is definitive.  I would recommend waiting for the results of the swab test before getting the kit - you might not need to

Terri
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46 months ago
I called the hospital and they did a "herpes culture" the result was negative, what do I do now?  Is there a huge difference in test accuracy culture vs per? Again thank you for your time.  
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
45 months ago
There's not a huge difference, but there is a difference. 
I think now that you have a negative swab test, the western blot should be performed to clarify your low positive.  For sure.

Terri
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