What Causes Recurrent Herpes Simplex Infection With Radiating Pain In Left Leg?

Posted on Mon, 16 Nov 2015

Question: I was diagnosed with XXXXXXX Hunt 25 years ago. For several years i did alright( i have an underlying herplex simplex with breakouts usually one spot on my bottom and occ on lips.) I had a second flare up 5years ago and since then have recurring rounds usually every few weeks and it only effects the left side of my body anywhere between head,face,jaw to midsection, or groin area and pain radiates down left leg to feet. Everything I've read re: XXXXXXX Hunt says nothing about recurring cylcles or effecting any other part except the head region. Could something else be causing these symptoms other than the Ramsay?
I went the route of taking valtrex along with prenisone when these occurred but am leary of continuing these drugs long term. What can you advise?

Answered by Dr. Suresh Heijebu (13 hours later)

Brief Answer:
Classical case of PHN.

Detailed Answer:
Hello, Madam.

I have gone through your query in detail.

These recurrent episodes point to Post Herpetic Neuralgia/PHN.

Episodes are neither related to RHS nor Herpes Simplex.

PHN is related to reactivation of shingles.

This is usually confined to specific thoracic dermatomes as in your case restricted to one-half of the upper body.

Valtrex and Prednisolone are not advisable for frequent or long-term use.

Vaccination for PHN is an excellent option in your case to prevent such episodes.

Post your further queries if any,
Thank you.

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar