A patient has an STI characterized by sporadically recurring, painful, fluid-filled blisters in the genital area. A Gram stain and bacterial culture indicate the presence of normal bacterial microbiota. What is the most likely etiologic agent?
Question
A patient has an STI characterized by sporadically recurring, painful, fluid-filled blisters in the genital area. A Gram stain and bacterial culture indicate the presence of normal bacterial microbiota. What is the most likely etiologic agent?
Solution
The symptoms described in the question are characteristic of a herpes simplex virus infection, specifically herpes simplex virus type 2 (HSV-2), which is the most common cause of genital herpes. The fact that a Gram stain and bacterial culture only show normal bacterial microbiota further supports this, as herpes is a viral infection and would not be detected by these bacterial tests. Therefore, the most likely etiologic agent is herpes simplex virus type 2.
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