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Abstract:
Three cases of herpetic whitlow are reported. This occupational hazard of medical and paramedical personnel caused by finger infection by ther herpes simplex virus is often confused with bacterial (pyogenic) infection of the pulp of the finger or thumb. Unnecessary surgical drainage may then be carried out, with prolongation of morbidity. Wider recognition of this entity should enable a correct clinical diagnosis to be made in every case. The treatment is conservative as the condition is self-limiting. Topical application of idoxuridine appears to be beneficial.
Insights
Herpetic whitlow, a finger infection caused by the herpes simplex virus, is an occupational hazard for healthcare workers. Correct diagnosis prevents unnecessary surgery, with conservative treatment and topical idoxuridine showing benefits.
Area of Science:
- Dermatology
- Infectious Diseases
- Occupational Health
Background:
- Herpetic whitlow is a finger infection caused by the herpes simplex virus.
- It is an occupational hazard particularly for medical and paramedical personnel.
- This condition is frequently misdiagnosed as a bacterial infection.
Purpose of the Study:
- To report three cases of herpetic whitlow.
- To highlight the diagnostic challenges and consequences of misdiagnosis.
- To emphasize the importance of recognizing herpetic whitlow for appropriate management.
Main Methods:
- Case report series.
- Clinical observation and diagnosis.
- Review of treatment outcomes.
Main Results:
- Three cases of herpetic whitlow were observed.
- Misdiagnosis led to unnecessary surgical interventions in some instances.
- Conservative management was effective, and the condition was self-limiting.
Conclusions:
- Herpetic whitlow requires wider recognition among healthcare professionals.
- Accurate clinical diagnosis is crucial to avoid inappropriate surgical drainage.
- Conservative treatment, potentially including topical idoxuridine, is recommended.