Abstract
Context: Herpetic whitlow is caused by herpes virus (type1 or 2) during primary infection or as result of autoinoculation. Commonly, it is caused by HSV-2 in adults with positive history for genital infection.
Case Description: We report the case of a 44-year-old woman that came to our attention with a 3- year history of recurrent cutaneous eruption on the ring finger of her left hand associated to lymphangitis of the homolateral arm. Laboratory exams including PCR on blood and cutaneous swab allowed to diagnosis it as a rare case of herpetic whitlow. Conclusion: The case here reported demonstrates that herpetic whitlow should be kept in mind by physicians in recurrent cases of fingers infection. Advanced diagnostic techniques as PCR are required to help clinicians to achieve a definite diagnosis and to choose the right treatment.Keywords: Atypical herpetic infection, HSV-1, HSV-2, PCR, suppressive antiviral therapy, whitlow.
Endocrine, Metabolic & Immune Disorders - Drug Targets
Title:Atypical Herpetic Whitlow: A Diagnosis to Consider
Volume: 17 Issue: 1
Author(s): Caterina Foti*, Paolo Romita, Paolo Mascia, Giuseppe Miragliotta and Agata Calvario
Affiliation:
- Unit of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Policlinico, Piazza Giulio Cesare, 11, I-70124 Bari,Italy
Keywords: Atypical herpetic infection, HSV-1, HSV-2, PCR, suppressive antiviral therapy, whitlow.
Abstract: Context: Herpetic whitlow is caused by herpes virus (type1 or 2) during primary infection or as result of autoinoculation. Commonly, it is caused by HSV-2 in adults with positive history for genital infection.
Case Description: We report the case of a 44-year-old woman that came to our attention with a 3- year history of recurrent cutaneous eruption on the ring finger of her left hand associated to lymphangitis of the homolateral arm. Laboratory exams including PCR on blood and cutaneous swab allowed to diagnosis it as a rare case of herpetic whitlow. Conclusion: The case here reported demonstrates that herpetic whitlow should be kept in mind by physicians in recurrent cases of fingers infection. Advanced diagnostic techniques as PCR are required to help clinicians to achieve a definite diagnosis and to choose the right treatment.Export Options
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Cite this article as:
Foti Caterina*, Romita Paolo , Mascia Paolo, Miragliotta Giuseppe and Calvario Agata , Atypical Herpetic Whitlow: A Diagnosis to Consider, Endocrine, Metabolic & Immune Disorders - Drug Targets 2017; 17 (1) . https://dx.doi.org/10.2174/1871530316666170331164749
DOI https://dx.doi.org/10.2174/1871530316666170331164749 |
Print ISSN 1871-5303 |
Publisher Name Bentham Science Publisher |
Online ISSN 2212-3873 |
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