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A herpetic whitlow is a herpes lesion , typically on a finger or thumb, caused by the herpes simplex virus (HSV). Occasionally infection occurs on the toes or on the nail cuticle. Herpes whitlow can be caused by infection by HSV-1 or HSV-2. [1]
It is important to not confuse this with a felon or a paronychia as incision and drainage of herpetic whitlow could result in a secondary bacterial infection and failure to heal. [16] Onychomycosis is a fungal infection of the nail that causes whitish-yellowish discoloration. Sometimes, it is difficult to treat and requires oral antibiotics ...
A whitlow or felon is an infection of the tip of the finger. [ 1 ] [ 2 ] [ a ] Herpetic whitlow and melanotic whitlow (subungual melanoma) are subtypes that are not synonymous with the term felon . A felon is an "extremely painful abscess on the palmar aspect of the fingertip". [ 6 ]
An example of this is herpetic whitlow, which is a herpes infection on the fingers; it was commonly found on dental surgeon's hands before the routine use of gloves when treating patients. Shaking hands with an infected person does not transmit this disease. [24] Genital infection of HSV-2 increases the risk of acquiring HIV. [25]
Oral and/or genital herpes, herpetic gingivostomatitis, pharyngitis, eczema herpeticum, herpetic whitlow, herpes simplex keratitis, erythema multiforme, encephalitis, as well as other herpes simplex infections: Neuron (sensory ganglia) Close contact (oral or sexually transmitted infection) HHV-2: Herpes simplex virus-2 (HSV-2) α: Mucoepithelial
Herpetic whitlow typically involves the fingers or thumb, [7] herpes simplex keratitis involves the eye, [8] herpesviral encephalitis involves the brain, [9] and neonatal herpes involves any part of the body of a newborn, among others. [10] There are two types of herpes simplex virus, type 1 (HSV-1) and type 2 (HSV-2). [1]
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Eye infection, in the form of conjunctivitis or keratitis, can happen when the eyes are rubbed after touching the lesion. Finger infection (herpetic whitlow) can occur when a child with cold sores or primary HSV-1 infection sucks his fingers. [29] [30] Blood tests for herpes may differentiate between type 1 and type 2.