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Herpetic whitlow

Case synopsis

Case synopsis

Male infant 1.5 year old presented by grouped vesicles which coalesced into a large bullae on right index finger.

Duration 5 dayes

Diagnosis

Diagnosis

Herpetic whitlow.

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.

Treatment

Treatment

Symptomatic relief and avoidance of secondary infection are the mainstays of therapy.

* 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