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Case study: inoculation herpes barbae.

Eric C Parlette1, James M Polo

  • 1Naval Hospital, Okinawa, Japan. ecparlette@hotmail.com

Skinmed
|May 14, 2005
PubMed
Summary
This summary is machine-generated.

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A painful facial rash, diagnosed as herpes simplex barbae, developed in a young man after exposure to a cold sore. Treatment included acyclovir and pain management, with advice to avoid shaving and further spread.

Area of Science:

  • Dermatology
  • Virology
  • Infectious Diseases

Background:

  • Herpes simplex virus (HSV) infections can manifest in various forms, including orofacial and genital presentations.
  • Herpes simplex barbae, a specific manifestation of HSV infection, affects the bearded areas of the face.

Observation:

  • A 21-year-old man presented with a painful, progressive, vesicular facial eruption, fever, malaise, and lymphadenopathy.
  • Lesions were characterized by vesicles and crusted erosions, predominantly on the left bearded facial skin, with oral involvement.
  • A Tzanck smear revealed characteristic multinucleated giant cells, and viral culture confirmed herpes simplex virus.

Findings:

  • The patient was diagnosed with herpes simplex barbae, likely acquired through contact with a cold sore and potentially spread via shaving.

Related Experiment Videos

  • Treatment involved oral acyclovir for the viral infection and analgesics for pain relief.
  • Supportive care included a viscous lidocaine, diphenhydramine, and attapulgite suspension for oral discomfort and hygiene recommendations to prevent autoinoculation.

    • Implications:

    • This case highlights the importance of recognizing herpes simplex barbae in patients with facial vesicular eruptions, especially with a history of cold sore exposure.
    • Proper diagnosis and management, including antiviral therapy and preventive measures, are crucial to minimize complications and transmission.
    • Patient education on hygiene, avoiding shaving, and preventing autoinoculation is essential for recovery and preventing recurrence.