Herpetic Whitlow

Feder, Henry M.

doi:10.1001/archpedi.1983.02140350035009

Cited by 77 publications

(5 citation statements)

References 17 publications

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“…Systemic signs like fever and malaise may accompany the infection. Bacterial paronychia in contrast to the herpetic vesicle appears as one large vesicle with purulent fluid and with positive Gram stain [11,17]. Diagnosis can be confirmed by laboratory tests such as viral culture, Tzank test, serum antibody titers for HSV or fluorescent antibody detection.…”

Section: Discussionmentioning

confidence: 99%

“…Complications after herpetic whitlow infection are uncommon but have involved lymphadenitis, hypoesthesia [7], keratitis [4] and systemic viremia [11].…”

Section: Discussionmentioning

confidence: 99%

“…In 1959, Stern et al [2] were the first to report on herpetic whitlow in hospital medical personnel.Thereafter, a substantial number of cases occurring in medical personnel were reported in the literature and herpetic whitlow became recognized as an occupational hazard [3][4][5][6][7][8][9][10][11][12][13][14]. It affects mainly medical staff who come into contact with the oral cavity or secretions from the nasopharynx and mouth, such as dentists, anesthesiologists and medical staff, especially those working in intensive care units [3][4][5][6][7][8][9][10][11][12][13][14]. Other groups of people who are at risk of herpetic whitlow are those with a herpetic lesion elsewhere on their body, children with herpetic stomatitis who suck their fingers and people who come into direct contact with the saliva of infected persons [7,13].…”

Section: Introductionmentioning

confidence: 99%

“…In the field of pediatric medicine, herpetic whitlow occurs mainly in pediatricians and pediatric nurses employed in intensive care units [4,10] or involved in intubation [11]. Other herpetic infections, such as primary herpetic gingivostomatitis, have been reported in medical staff in a general pediatric department [15].…”

Section: Introductionmentioning

confidence: 99%

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Herpetic Whitlow Infection in a General Pediatrician - An Occupational Hazard

Avitzur

Amir

2002

Infection

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Herpetic whitlow is a well-known occupational hazard for medical staff. It has been reported to affect mainly workers in intensive care units who come into close contact with oral secretions. We report herpetic whitlow infection in a general pediatrician in order to increase the awareness to this infectious occupational hazard that might occur in any health care worker who deals with oral secretions. A 35-year-old male general pediatrician sustained a minor knife cut in his finger and 5 days later he developed herpetic whitlow. He was treated with acyclovir with gradual improvement. We review the clinical course, complications and treatment of herpetic whitlow. The source of the infection in the present case was unknown, but it probably derived from oral secretions of children with unrecognized infection. Simple measures like wearing gloves during oral examination will avoid unnecessary morbidity in medical staff.

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Section: Discussionmentioning

confidence: 99%

“…Complications after herpetic whitlow infection are uncommon but have involved lymphadenitis, hypoesthesia [7], keratitis [4] and systemic viremia [11].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Herpetic Whitlow Infection in a General Pediatrician - An Occupational Hazard

Avitzur

Amir

2002

Infection

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“…HW is an infection of the fingers and toes caused by HSV‐1 and ‐2. The typical feature of HW is deep vesicles, but when vesicles coalesce the appearance may mimic cellulitis and with associated lymphangitis it may be mistaken for a bacterial infection 1,2 …”

Section: Answermentioning

confidence: 99%