Herpes Labialis Infection

In 1959, it was first describe as an occupational hazard for health tutelage workers.2,3 It is often misdiagnosed as a bacterial infection, although herpetic whitlow is caused by herpes virus simplex virus 1 (HSV-1) in 60 percentage of cases and by herpes simplex virus 2 (HSV-2) in the remaining 40 percent of cases1,2. Thumb sucking causes autoinoculation from uncomplicated oropharyngeal lesions in children with herpetic gingivostomatitis or herpes labialis. Children and health care workers are usually infected with HSV-11,2,3. In the U.S. the annual relative incidence of herpetic whitlow is approximately 2.4 to 5,0 cases per 100,000 population.3 Mortality bath be false to be negligible, provided morbidity is increased primarily by

acterial superinfection or to iatrogenic complications caused by incision and drainage following incorrect diagnosing.

Signs and symptoms of herpetic whitlow allow in edema, erythema, and significant localized tenderness of the infected finger, beginning abruptly.1 The diagnosis of herpetic whitlow is usually based on examination and history, but a variety of laboratory tests are available if explicit diagnosis is required.2 Viral cultures, serum antibody titers, the Tzanck test, and fluorescent antibody testing can all confirm a diagnosis of herpetic whitlow.1,2 Often the suffer is out of proportion to the visible symptoms. Other symptoms may overwhelm fever, lymphadenitis, and epitrochlear and axillary lymphad
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