How does acute herpetic pharyngotonsillitis present in patients with herpes simplex virus (HSV) infections?

Updated: Mar 01, 2018
  • Author: Folusakin O Ayoade, MD; Chief Editor: Michael Stuart Bronze, MD  more...
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In adults, oropharyngeal HSV-1 infection causes pharyngitis and tonsillitis more often than gingivostomatitis.

Fever, malaise, headache, and sore throat are presenting features.

The vesicles rupture to form ulcerative lesions with grayish exudates on the tonsils and the posterior pharynx.

Associated oral and labial lesions occur in fewer than 10% of patients.

HSV-2 infection can cause similar symptoms and can be associated with orogenital contact or can occur concurrently with genital herpes.

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