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Atypical Herpetic Whitlow: A Diagnosis to Consider

[ Vol. 17 , Issue. 1 ]

Author(s):

Caterina Foti*, Paolo Romita, Paolo Mascia, Giuseppe Miragliotta and Agata Calvario   Pages 3 - 4 ( 2 )

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.

Affiliation:

Unit of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Policlinico, Piazza Giulio Cesare, 11, I-70124 Bari, Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Bari, Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Bari, Microbiology and Virology Unit, Bari-Policlinico, Bari, Microbiology and Virology Unit, Bari-Policlinico, Bari

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