[Question #6530] Possible Herpes

13 months ago
Hello

I’m a 24 year old male. On December 31st I had unprotected sex with a close friend of mine. I woke up the next morning with a small red rash on my inner thigh. It got slightly larger and more inflamed as the days went on but it didn’t hurt or itch. So on January 5th I went to urgent care and was diagnosed with a fungus infection. The medication prescribed has drastically reduced the inflammation and 12 days later that is almost completely gone. But after being on the medicine for 5 days I started experience what felt like herpes prodrome symptoms. Tingling in my butt and thighs. Achy leg muscles. Slight fatigue. I’ve had no additional lesions or blisters other than the original rash but these tingling symptoms have persisted now for an entire week at least for a little bit every day. They’ll stop temporarily but other times they’re persistent. Is it possible for the prodrome phase to last this long or do you think my anxiety has made me
Imagine some of them? Should I see a doctor? I would have by now but I have no blisters or bumps to show them and it’s too close to the initial encounter for a blood test. Any advice would be greatly appreciated. Thank you!!
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
13 months ago
I think your anxiety is mis-attributing your fungal symptoms to genital herpes.  I don't think you need to go and see anyone, no.  With no blisters or bumps to show someone and since it is too early for a blood antibody test, I don't see a reason  to be seen at this point.  If you are still concerned about a few months, you could get an IgG test but at this point, I think you  are dealing with a classic fungal infection and do not need to be seen, unless something changes signficantly

Terri
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13 months ago
Thanks for your response! Just a follow up. I’m now 19-20 days post exposure. My tingling and itching have almost completely subsided at this point. The fungal infection has almost completely faded but not quite. Would it still be possible to see herpes symptoms soon or am I past that point so far past my exposure date? Also just to confirm, a topical ointment prescribed for a fungal infection would have no effect on a herpes sore? The fact that it helped the rash completely rules out that the rash was herpes related?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
13 months ago
New herpes infections will manifest with symptoms within 2-10 days, perhaps at the very outside, 14.  So you are outside the time frame now.  A topical ointment for a fungal infection would have absolutely no impact on herpes lesions, correct.  Herpes is caused by a virus and fungal infections are caused by a fungi - totally different and not treatable with the same medicine.  Your description of the rash is classically fungal.

terri
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13 months ago
Thank you very much Terri. To close, what specifically would you advise I look out for in terms of symptoms of contracting herpes in the initial outbreak? Based on what I’ve read on this site a lot of the websites out there are misleading in terms of the wide variety of symptoms. So as an expert what are the true common symptoms to be on the lookout for in an initial outbreak? Specifically the location, sensation, and visual symptoms? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
13 months ago
You should be looking for blisters in the genital area or any open sore or unusual break in the skin and it would most likely be on the shaft of the penis vs somewhere else, with a new infection.  If those symptoms arise, I would strongly suggest that you see a clinician for an evaluation.

Terri
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