See other posts about the problems in interpreting HerpeSelect HSV-2 tests in the presence of a postive result for HSV-1. Make sure your HSV-2 result was strongly positive (ELISA ratio >3.0); if not, you might not have HSV-2 after all.
But if you are HSV-2 positive, I doubt you acquired it in the encounter you describe, or that HSV-2 explains your neurological symptoms. You might have had HSV-2 for a long time, with the currrent problem entirely coincidental, not related either to herpes or to your sexual exposure. The lack of response to acyclovir is further evidence that your symptoms aren't due to herpes.
Good luck-- HHH, MD
As a follow-up, can you recommend an infectuous disease specialist in Pittsburgh, PA that I should see? Thanks.
I don't make named referrals on line. A good bet would be Pittsburgh University school of medicine, or a medical center affiliated with it. There are excellent STD experts at Pitt, including people who are respected herpes researchers; the ones I know are in gynecology, but they might see men, or you could rely on their recommendation.
"(i) pain in my lower back, (ii) a burning painful tingling down the back of my left leg, (iii) a dull pain in my left buttocks and both heels"
Maybe it's completely unrelated to herpes, and actually a musculoskeletal issue. These symptoms sound more to me like sciatica. Or, it could be referred pain from trigger points in your gluteus minimus or piriformis muscles. I'd ask your doctor about these possibilities :-)
Thanks - I'll certainly try to get the name of one of the Herpes researchers at Pitt. But my ELISA Ratio was in fact strongly positive - I think it was in the neighborhood of 9. And I'm virtually certain that's how I acquired it - she had a bad cold that day which could have produced shedding I'm guessing - and that's when ALL of my problems started.
In your experience, have you seen HSV-2 cause benign fasciculation syndrome and other types of intractable pain? Since the virus resides in the nerve ganglia, it seems to make sense to me. Could it also produce an autoimmune disorder? for instance, is it possible that in some people the immune system malfunctions and mistakenly attacks ALL the nerves in the body thinking it is attacking the herpes virus. This in turn would wear away the protective sheath around the nerves, and allow electrical signals to pass through when they shouldn't be....hence the random muscle twitching/hyper-excitable nerves?
I truly appreciate your thoughtful and help input.
First of all, I am not a doctor so I am not claiming to diagnose ...however, I did want to say that I also have many of the same symptoms, except I do not have pain in my calves or heels (my shooting pain is limited to the buttocks & back of upper thigh-although I do have twitching in my calve muscle which I never had before). My symptoms started a couple of weeks after exposure. I have read similiar posts on other web sites about others going thru the same thing. I just wanted you to know because the medical profession claims that is not a connection..but then why are so many people (H+ people) having these almost exact same symptoms? I am going to keep doing research as I think there is still much to learn about this virus...just my take on it all.