Biomaterial Database

Reactivation of oral-lingual herpes by chlorinated swimming pool water: a case report. 1995

M B Detweiler, and A Barelli

Hematology Division of Clinical Chemistry, Crozer-Chester Medical Center, Upland, Pennsylvania 19013, USA.

The authors describe the case of a highly stressed 36-year-old man who experienced ten or more painful episodes per year of recurrent oral-lingual herpes simplex virus 1, which were only partially responsive to acyclovir therapy for three years. A three-year diary of activities, personal stresses, concurrent infections, local trauma, and other possible psychogenic, somatogenic, and environmental events was used systematically to attempt to pair the stresses with the recurrent herpes episodes. Chlorinated swimming pool water seems to have been the triggering agent of the recurrent herpes simplex virus 1 episodes due to its temporal correlation and the greater than twenty-four-month asymptomatic period after the patient discontinued swimming in chlorinated water, but continued to swim in fresh and salt water, along with his normal pursuit of all other activities and habits.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D012008	Recurrence	The return of a sign, symptom, or disease after a remission.	Recrudescence,Relapse,Recrudescences,Recurrences,Relapses
D002713	Chlorine	An element with atomic symbol Cl, atomic number 17, and atomic weight 35, and member of the halogen family.	Chlorine Gas,Chlorine-35,Cl2 Gas,Chlorine 35,Gas, Chlorine,Gas, Cl2
D005618	Fresh Water	Water containing no significant amounts of salts, such as water from RIVERS and LAKES.	Freshwater,Fresh Waters,Freshwaters,Water, Fresh,Waters, Fresh
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D012623	Seawater	The salinated water of OCEANS AND SEAS that provides habitat for marine organisms.	Sea Water,Sea Waters,Seawaters,Water, Sea,Waters, Sea
D013283	Stomatitis, Herpetic	Stomatitis caused by Herpesvirus hominis. It usually occurs as acute herpetic stomatitis (or gingivostomatitis), an oral manifestation of primary herpes simplex seen primarily in children and adolescents.	Gingivostomatitis, Herpetic,Herpes Simplex, Oral,Gingivostomatitides, Herpetic,Herpetic Gingivostomatitides,Herpetic Gingivostomatitis,Herpetic Stomatitides,Herpetic Stomatitis,Oral Herpes Simplex,Simplex, Oral Herpes,Stomatitides, Herpetic
D013312	Stress, Physiological	The unfavorable effect of environmental factors (stressors) on the physiological functions of an organism. Prolonged unresolved physiological stress can affect HOMEOSTASIS of the organism, and may lead to damaging or pathological conditions.	Biotic Stress,Metabolic Stress,Physiological Stress,Abiotic Stress,Abiotic Stress Reaction,Abiotic Stress Response,Biological Stress,Metabolic Stress Response,Physiological Stress Reaction,Physiological Stress Reactivity,Physiological Stress Response,Abiotic Stress Reactions,Abiotic Stress Responses,Abiotic Stresses,Biological Stresses,Biotic Stresses,Metabolic Stress Responses,Metabolic Stresses,Physiological Stress Reactions,Physiological Stress Responses,Physiological Stresses,Reaction, Abiotic Stress,Reactions, Abiotic Stress,Response, Abiotic Stress,Response, Metabolic Stress,Stress Reaction, Physiological,Stress Response, Metabolic,Stress Response, Physiological,Stress, Abiotic,Stress, Biological,Stress, Biotic,Stress, Metabolic
D013551	Swimming Pools	Excavations or containment structures filled with water and used for swimming.	Pool, Swimming,Pools, Swimming,Swimming Pool