Gangrenous herpetic whitlow initially misdiagnosed as cellulitis

2020 ◽  
Vol 61 (3) ◽  
pp. 274-274
Author(s):  
Hanjae Lee ◽  
Ji Hoon Yang ◽  
Dae Hun Suh
Keyword(s):  
Herpetic Whitlow

Herpetic Whitlow in Three Nurses.

1991 ◽  
Vol 53 (6) ◽  
pp. 1163-1167
Author(s):  
Toshiko CHIBA ◽  
Hidemi SUZUKI ◽  
Koji SERIKAWA ◽  
Tomoko SUNAGA ◽  
Makoto MORITA ◽  
...  
Keyword(s):  
Herpetic Whitlow

A case of herpetic whitlow associated with erythema multiforme.

1998 ◽  
Vol 15 (5) ◽  
pp. 384-385 ◽  
Author(s):  
MM de Ocariz ◽  
ME Vega-Memije ◽  
H Munoz-Hink
Keyword(s):  
Erythema Multiforme ◽  
Herpetic Whitlow

Acyclovir and the treatment of herpetic whitlow

1987 ◽  
Vol 64 (2) ◽  
pp. 255-258 ◽  
Author(s):  
Nathan W. Schwandt ◽  
David P. Mjos ◽  
Richard M. Lubow
Keyword(s):  
Herpetic Whitlow

Getting the lowdown on herpetic whitlow

Nursing ◽  
2004 ◽  
Vol 34 (7) ◽  
pp. 17
Author(s):  
BARBARA WYAND WALKER
Keyword(s):  
Herpetic Whitlow

scholarly journals Herpetic whitlow: a medical risk.

BMJ ◽  
1971 ◽  
Vol 4 (5785) ◽  
pp. 444-444 ◽  
Keyword(s):  
Medical Risk ◽  
Herpetic Whitlow

Herpetic whitlow mimicking squamous cell carcinoma in an immunocompromised patient

2019 ◽  
Vol 34 (2) ◽  
Author(s):  
C. Bokotas ◽  
S. Gregoriou ◽  
D. Polydorou ◽  
M. Plaka ◽  
G. Kontochristopoulos ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Immunocompromised Patient ◽  
Herpetic Whitlow

Herpetic Whitlow

2014 ◽  
Vol 371 (17) ◽  
pp. e25
Author(s):  
Sara Izzo ◽  
Muneer Ahmed
Keyword(s):  
Herpetic Whitlow

scholarly journals A Case Report of Herpetic Whitlow with Positive Kanavel’s Cardinal Signs: A Diagnostic and Treatment Difficulty

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Milos Brkljac ◽  
Samer Bitar ◽  
Zafar Naqui
Keyword(s):  
Differential Diagnosis ◽  
Recurrent Infection ◽  
Middle Finger ◽  
History Taking ◽  
Oral Antibiotics ◽  
Acute Viral Infection ◽  
Diagnostic Confusion ◽  
Simplex Virus ◽  
Flexor Tenosynovitis ◽  
Herpetic Whitlow

Herpetic whitlow is an acute viral infection of the hand caused by either herpes simplex virus (HSV) 1 or 2. Its characteristic findings are significant pain and erythema with overlying nonpurulent vesicles. The differential diagnosis includes flexor tenosynovitis. We present a case of recurrent infection of the middle finger in an immunocompetent 19-year-old girl. Multiple painful pustules with tracking cellulitis were partially treated by oral antibiotics. A recurrence with positive Kanavel’s signs suggested flexor tenosynovitis at seven months. Her symptoms improved transiently following emergent surgical open flexor sheath exploration and washout however, she required two further washouts; at eleven and thirteen months to improve symptoms. Viral cultures were obtained from the third washout as HSV infection was disclosed from further history taking. These were positive for HSV2. Treatment with acyclovir at thirteen months after presentation led to a complete resolution of her symptoms with no further recurrences to date. This rare case highlights the similarity in presentation between flexor sheath infection and herpetic whitlow which can lead to diagnostic confusion and mismanagement. We emphasise the importance of careful past medical history taking as well as considering herpetic whitlow as a differential diagnosis despite the presence of strongly positive Kanavel’s signs.

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