Duration 5 dayes
Herpetic whitlow is caused by herpes simplex virus, type 1 or type 2 either primary infection or recurrent by reactivation of latent infection through direct physical contact.
Infection can be found in any age group. However, it is most common in children who suck their thumbs and in healthcare providers (medical or dental).
Infection usually occurs 3 to 7 days following exposure.
* Incision and drainage should not be performed as it provides no symptomatic relief and may cause viremia and bacterial superinfection.
*Topical acyclovir 5% &Topical penciclovir has been demonstrated to shorten the duration of symptoms and viral shedding.
*Oral acyclovir may prevent recurrence.
*Antibiotic treatment only in cases complicated by bacterial superinfection