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June 1995

Herpetic Whitlow in an Infant Without Defined Risks

Author Affiliations

Departments of Pediatrics and Family Medicine University of Connecticut Health Center Farmington, CT 06030-3960

Arch Dermatol. 1995;131(6):743-744. doi:10.1001/archderm.1995.01690180123032

Herpetic whitlow is a herpes simplex virus (HSV) infection of a digit. Medical and dental personnel are at risk for herpetic whitlow because of exposure to oral secretions containing HSV,1 and patients with clinical HSV oral and genital infections are at risk because of autoinoculation.2,3 The following is a case report of an infant who contracted a herpetic whitlow without specific exposure to HSV.

Report of a Case.  An 8-month-old boy presented to his physician with a 1-day history of fever and irritability. Physical examination revealed erythema of the distal digit of his index finger with a blister at the finger tip. The patient was given oral cephalexin for cellulitis. Over the next 2 days, blisters developed proximally, and he was referred to the University of Connecticut Health Center, Farmington. At this time, the patient was irritable, febrile (rectal temperature, 38.3°C), and had erythema of Erythema and blisters of the

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