Herpetic Whitlow—a Non-Surgical Infection of the Hand

Rl, Berkowitz; Vr, Hentz

doi:10.1097/00006534-197707000-00035

Cited by 15 publications

(2 citation statements)

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“…HW presents with an abrupt onset of edema, erythema, and tender vesicles—these typically start as small fluid‐filled lesions on an erythematous base, but later may coalesce to form bullae . Deposition of white blood cells into the vesicles may give a turbid, honeycomb appearance, often mistaken for suppurative fluid seen with bacterial infections . Later, there may be hemorrhage into the skin under the vesicles, yielding a violaceous, dusky appearance.…”

Section: Discussionmentioning

confidence: 99%

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Herpetic whitlow of the toe presenting with severe viral cellulitis

Collier

Parikh

Martin-Blais

et al. 2019

Pediatric Dermatology

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Herpetic whitlow of the toe is a common infection in an uncommon location, leading it to be frequently misdiagnosed; however, as the virus responds well to conservative management or antivirals alone, proper identification is necessary to prevent unnecessary interventions. We present a case of herpetic whitlow of the toe with an unusually ominous appearance in a previously healthy and otherwise well-appearing child. This case illustrates the spectrum of herpetic whitlow's clinical presentations and enourages consideration of the disease even for atypical location and severity.

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Section: Discussionmentioning

confidence: 99%

“…Although severe cases of HW may mimic bacterial infection, accurate diagnosis may prevent unnecessary treatment with antibiotics and potential harm from surgical debridement . HW can be diagnosed clinically; however, if uncertainty exists, PCR of the lesion for HSV can confirm the diagnosis.…”

Section: Discussionmentioning

confidence: 99%