Herpes simplex virus 2 caused a genital ulcer, and a secondary herpetic whitlow appeared during acyclovir therapy. The secondary and recurrent whitlow isolates were acyclovir-resistant and temperature-sensitive in contrast to a genital isolate. We identified the ribonucleotide reductase mutation responsible for temperature-sensitivity by deep-sequencing analysis.
Keywords: Herpes simplex virus; high-throughput DNA sequencing; reactivation; ribonucleotide reductase; temperature-sensitive (Ts); thymidine kinase deficient.