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Vol. 24 - Num. 95

Clinical Reviews

Herpetic whitlow in a twenty-month-old infant

Pilar Ferrer Santosa, Manuel Lavilla Jiménezb, Lorena Abellanas Jarnec

aPediatra. CS Jaca. Huesca. España.
bMédico de Familia. CS Sabiñánigo. Huesca . España.
cEnfermera. CS Sabiñánigo. Huesca. España.

Correspondence: P Ferrer . E-mail: pilarferrersantos@gmail.com

Reference of this article: Ferrer Santos P, Lavilla Jiménez M, Abellanas Jarne L. Herpetic whitlow in a twenty-month-old infant. Rev Pediatr Aten Primaria. 2022;24:295-9.

Published in Internet: 07-09-2022 - Visits: 1529

Abstract

The herpetic whitlow is a skin lesion caused by the herpes simplex virus, in Pediatrics especially the herpes virus type 1. It is a lesion that must be known to avoid making an incorrect diagnosis and establishing unnecessary or even harmful treatments.

The usual clinical presentation is a lesion with clustered vesicles whose typical location is on the first or second toe. In pediatric patients, it is common to occur after autoinoculation from herpetic gingivostomatitis, therefore, when this lesion is suspected, a complete physical examination including oropharynx is important.

The course is self-resolving although on occasions it may be necessary to establish treatment with oral acyclovir. Drainage of the lesion is contraindicated because it can lead to a spread of the herpes virus with serious consequences.

Keywords

Diagnosis and treatment Herpetic whitlow Paediatrics

 

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