[Question #6256] Rash on lower back - Shingles or Herpes?
70 months ago
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I had sex with a new partner and about 2-3 days after developed a red rash on the left side of my lower back, right about the belt line. These are 2-3 distinct red areas with little bumps on each. They do not itch, and are only mildly sore with pressure. I have no other symptoms, no other areas with rash anywhere. After 2-3 days with the rash i went to a walk-in/emergency care clinic. Two providers said it looked like shingles and gave be Valocyclivir. ~4 years ago i was tested for all STI's including HSV1 and 2 and for the first time showed positive to HSV1, but negative for HSV2. I have never had any cold sores on my mouth or gentles that I can recall, so difficult to know what the HSV1 was back then. My questions are: 1) could lower back/waistline "shingles-like" rash actually be a primary HSV2 presentation, with no other symptoms or rash? 2) Could lower back/waistline "shingles-like" rash actually be a recurrent HSV1 presentation? Thank you
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Terri Warren, RN, Nurse Practitioner
70 months ago
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1) could lower back/waistline "shingles-like" rash actually be a primary
HSV2 presentation, with no other symptoms or rash?
That could be, however, most first infections appear in the location exposed, so for females, the labia, men the penis shaft, most often
2) Could lower
back/waistline "shingles-like" rash actually be a recurrent HSV1 presentation? Thank you
yes, it could. Someone should have swab tested this for herpes if they thought it could be shingles - the presentations can be similar. Is it still there? If yes, go get it swab tested now.
Terri
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69 months ago
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unfortunately the walk in clinic did not offer the swab test and I went on Valtrex. The rash has largely cleared up with only some redish skin remaining. I guess I'll need to wait for 3-4 months and have a blood test done.
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Terri Warren, RN, Nurse Practitioner
69 months ago
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I guess that is true, and I Know it is difficult to wait but that's really the only way to get a clear answer, and you only need to wait 12 weeks from the concerning encounter, not 4 months
Terri
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