Question:easy

A patient presents with painful grouped vesicles over the penile/genital region associated with fever and malaise. What is the most likely causative organism?

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Painful grouped genital vesicles + systemic symptoms = herpes.
Updated On: Jun 25, 2026
  • Herpes simplex virus (HSV)
  • Haemophilus ducreyi
  • Human papillomavirus (HPV)
  • Treponema pallidum (Syphilis)
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The Correct Option is A

Solution and Explanation

Anchor on two words: painful and vesicles. Among genital ulcer diseases, the lesion that is vesicular before it ulcerates and is painful is herpes genitalis, driven by herpes simplex virus (predominantly HSV-2). A primary episode also brings fever, malaise and tender groin nodes, matching the systemic picture given.

Contrast this with the other classic genital infections. Chancroid (Haemophilus ducreyi) is painful but presents as ragged ulcers, not vesicles. HPV gives painless cauliflower-like warts. Syphilis (Treponema pallidum) gives a single painless, firm chancre with painless lymphadenopathy. Only HSV unites grouped vesicles, pain, and constitutional symptoms.

\[\boxed{\text{Herpes simplex virus (HSV)}}\]
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