Primary Herpes Simplex Virus Type 1 Infection in Multiple Areas After a Facial Procedure in a Commercial Spa FacilityErlich, Kim S. MDInfectious Diseases in Clinical Practice: November 2010 - Volume 18 - Issue 6 - pp 402-403 doi: 10.1097/IPC.0b013e3181d65290 Case Reports Abstract Author Information Primary herpes simplex virus type 1 (HSV-1) infection typically occurs after direct contact with secretions from an infected individual who is shedding virus. Herpes simplex virus infection occurring through direct contact with contaminated fomites is believed to be unusual. However, HSV-1 can survive on inanimate objects for up to several hours, and direct inoculation of virus into the skin with a contaminated device could result in primary herpes simplex virus infection. This is the first report describing primary HSV-1 infection occurring in multiple locations on the face and chest wall following skin punctures with a metal extraction tool used to remove blemishes during a facial procedure performed at a commercial spa facility. From the University of California, San Francisco, and Northern Peninsula Infectious Diseases Medical Group, Daly City, CA. Correspondence to: Kim S. Erlich, MD, Northern Peninsula Infectious Diseases Medical Group, 901 Campus Drive, Suite 302, Daly City, CA 94015. E-mail: Kerlich@NorpenID.com. The author has no funding or conflicts of interest to disclose. © 2010 Lippincott Williams & Wilkins, Inc.