Abstract：
This case report focuses on a rare presentation of Epstein-Barr virus as genital ulcers in a 14-year-old girl with no sexual activity history. Despite initial misdiagnosis and failed acyclovir treatment, investigations ruled out sexually transmitted causes but revealed elevated Epstein-Barr virus antibodies. Subsequent treatment with a 14-day prednisone course led to significant improvement. This case emphasizes the importance of considering nonsexual etiologies for genital ulcers to prevent delayed or inappropriate treatment and highlights the need for broader education on such atypical presentations.
摘要：
该病例报告集中于一名14岁无性活动史女孩的生殖器溃疡中爱泼斯坦-巴尔病毒的罕见表现。尽管最初误诊且阿昔洛韦治疗失败，调查排除了性传播原因，但发现爱泼斯坦-巴尔病毒抗体升高。随后使用14天的泼尼松疗程治疗导致了显着改善。此案例强调了考虑生殖器溃疡的非性病因以防止延迟或不当治疗的重要性，并强调了对此类非典型表现进行更广泛教育的必要性。
