The association between Jewish ritual circumcision and genital herpes simplex virus type 1 infection has been well described. We report a case of genital herpes that first presented at the age of 2½ years. We believe that the infection was acquired asymptomatically through direct orogenital suction performed during circumcision in the newborn period.
A genital herpes first presented clinically in a boy at the age of 2.5 years. We believe that the infection was acquired asymptomatically on the occasion of ritual orthodox circumcision.
From the *Infectious Diseases Unit, †Microbiology Laboratory, ‡Department of Pediatrics, E. Wolfson Hospital, Holon, Israel; and §Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Conflict of interest: None declared. No funding received.
Correspondence: Michael Dan, MD, Infectious Diseases Unit, E Wolfson Hospital, Holon 58100, Israel. E-mail: firstname.lastname@example.org.
Received for publication December 19, 2012, and accepted February 5, 2013.