Dr. H; thank you for all the good work that you do. I am a 24 year old male who recently engaged in unprotected genital-to-genital contact (no full-on penetration, but vigorous and extended rubbing all over the genital area) with a female of similar age. Three days after this encounter, I began to experience joint/muscle aches, lower back pain, headache, malaise, sore throat, and overall 'out of it' feeling. (No fever.) Diffuse genital itching accompanied these symptoms, but no signs of lesions in these areas. (Just scaly, dry skin.) As of today, general malaise still exists, but to a much lesser degree. All other symptoms have for the most part subsided.
Two days into these initial feelings of illness, I woke up and noticed a single, small 'pimple' at the base of my penis, in the hair follice area, two days following my initial symptoms. I 'popped' it, (yellow pus discharge), and applied pimple cream. Today, I still noticed it being slightly swollen. I squeezed it again, and it 'popped' once again, this time with a white 'pus' discharge. This is the only potential 'lesion' in my genital area, with no clusters or spreading.
I know that long-distance diagnosis of a skin lesion is next to impossible. However, per the symptoms and description of my situation, what is your opinion regarding this potentially being an initial HSV-2 outbreak? I know for a fact that I did not have HSV-2 prior to this contact, and am already HSV-1 positive. I know this contact was not high-risk, but I still have some concern due to feeling unwell and having this coincide with those same symptoms.
Thank you for your help.