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Primary and recurrent herpetic whitlow
Abstract:
Herpetic whitlow has been reported as a cross-infection among personnel working in clinics or hospitals. Vesicles or bullae suggest the diagnosis; confirmation is by virus isolation. Eight cases in medical personnel whose duties included contact with the oral cavity of infected patients were seen within a period of 3 years. The disease started as a paronychia in 3 instances, but involvement of the pulp space was the rule. Radiating pain along the C7 distribution was noted in 4 patients. Numbness and hypoesthesia following the acute episode were observed in one patient. Two individuals suffered recurrent attacks of herpetic whitlow at the same site.
Insights
Herpetic whitlow, a viral infection, can spread in healthcare settings. Medical personnel are at risk, with pulp space involvement and radiating pain being common symptoms.
Area of Science:
- Medical Sciences
- Infectious Diseases
- Dermatology
Background:
- Herpetic whitlow is a known occupational hazard in healthcare.
- Cross-infection can occur through contact with infected oral cavities.
Purpose of the Study:
- To report cases of herpetic whitlow in medical personnel.
- To describe clinical presentations and outcomes.
Main Methods:
- Case series analysis of eight medical personnel.
- Diagnosis confirmed by virus isolation.
- Clinical symptoms and patient history documented.
Main Results:
- Eight cases observed over 3 years in medical personnel.
- Pulp space involvement was common; paronychia occurred in 3 cases.
- Radiating pain (C7 distribution), numbness, and recurrent attacks were noted.
Conclusions:
- Herpetic whitlow poses a risk to healthcare workers.
- Early diagnosis and management are crucial.
- Recurrence is possible, necessitating ongoing vigilance.