This patient came with skin lesions involving hand and these lesions were seenin clusters with clear fluid inside them.
patient was unaware of his hiv status.since these lesions were suggestive of herpes and since these skin infections commonly occur in stage 2 of hiv we tested the patient for hiv and it came positive.
patient was counselled and CD4 Testing was done and his CD4 was 384.
Patient was started on hiv treatment and his herpes was treated with acyclovir.
patient is now on ART and stable.
Herpes infection is common in HIV patients.
It can occur over face trunk or upper limbs.
If not treated early can lead lead to neuropathy and its attended complications.
If a patient gets herpes infection they should be screened for HIV infection.