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Herpetic whitlow and heratitis.

R A Eiferman, G Adams, B Stover

Archives of Ophthalmology (Chicago, Ill. : 1960)

|June 1, 1979

Summary

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Two healthcare professionals developed herpetic whitlow and keratitis from patient contact. This herpes simplex virus infection of the fingertips typically resolves within two weeks.

Area of Science:

Dermatology
Infectious Diseases
Ophthalmology

Background:

Herpes simplex virus (HSV) can cause infections beyond the typical oral or genital sites.
Healthcare professionals are at risk of occupational exposure to viral infections.

Observation:

Two cases of herpetic whitlow (herpes simplex infection of the fingertips) were observed.
Both patients also presented with herpetic keratitis (herpes simplex infection of the cornea).
The patients were healthcare professionals, suggesting occupational acquisition from patients.

Findings:

Herpetic whitlow can be clinically differentiated from bacterial paronychia by specific signs.
Key distinguishing features include the absence of a tense pulp space, presence of vesicles, and serous, not purulent, drainage.

Related Experiment Videos

The fingertip inflammation resolved spontaneously within approximately two weeks.

Implications:

Highlights the potential for occupational transmission of herpes simplex virus in healthcare settings.
Emphasizes the importance of recognizing herpetic whitlow to avoid misdiagnosis as paronychia.
Demonstrates the self-limiting nature of herpetic whitlow, typically resolving without lasting skin damage.