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Herpetic Whitlow

Herpetic whitlow is an infection of the herpes virus around the fingernail. In children, this is often caused by thumb sucking or finger sucking while they have a cold sore. It is seen in adult healthcare workers such as dentists because of increased exposure to the herpes virus. The use of rubber gloves prevents herpes whitlow in healthcare workers.

Herpetic whitlow is an intense painful infection of the hand involving 1 or more fingers that typically affects the terminal phalanx. Herpes simplex virus 1 (HSV-1) is the cause in approximately 60% of cases of herpetic whitlow, and herpes simplex virus 2 (HSV-2) is the cause in the remaining 40%.

  • Types of Human Herpes Virus
  • HHV 1 – Herpes Simplex Virus 1 (HSV 1)
  • HHV 2 – Herpes Simplex Virus 2 (HSV 2)
  • HHV 3 -Herpes Zoster Virus (VZV)
  • HHV 4 – Ebstein Barr Virus (EBV)
  • HHV 5 – Cytomegolovirus (CMV)
  • HHV 6 – Human B-cell Lymphotrophic
  • HHV 7 – Causes Symptoms Similar to the HHV-6
  • HHV 8 – It is a Type of Rhadinovirus


Pathophysiology of Herpetic Whitlow

As in other mucocutaneous herpetic infections, herpetic whitlow is initiated by viral inoculation of the host through exposure to infected body fluids via a break in the skin, most commonly a torn cuticle. The virus then invades the cells of the dermis and subcutaneous tissue, and clinical infection ensues within a matter of days.

In the general adult population, herpetic whitlow is most often due to autoinoculation from genital herpes; therefore, it is most frequently secondary to infection with HSV-2.

Subsequent to the initial exposure, an incubation period of 2-20 days is common. Although a prodrome of fever and malaise may be observed, mostly the initial symptoms are pain and burning or tingling of the infected digit. This usually is followed by erythema, edema, and the development of 1- to 3-mm grouped vesicles on an erythematous base over the next 7-10 days. These vesicles may ulcerate or rupture and usually contain clear fluid, although the fluid may appear cloudy or bloody. Lymphangitis and epitrochlear and axillary lymphadenopathy are not uncommon. After 10-14 days, symptoms usually improve significantly and lesions crust over and heal.

Viral shedding is believed to resolve at this point. Complete resolution occurs over subsequent 5-7 days.

As is typical of other herpetic infections, herpetic whitlow is characterized by a primary infection, which may be followed by a latent period with subsequent recurrences. After the initial infection, the virus enters cutaneous nerve endings and migrates to the peripheral ganglia and Schwann cells where it lies dormant. The primary infection usually is the most symptomatic. Recurrences observed in 20-50% of cases are usually milder and shorter in duration.

Mortality/Morbidity

  • Mortality related to herpetic whitlow can be presumed to be negligible.
  • Morbidity is related primarily to bacterial super infection or to iatrogenic complications due to a misguided incision and drainage resulting from incorrect diagnosis of the infection as a bacterial paronychia. These complications may include delayed resolution, increased incidence of bacterial superinfection, and, rarely, systemic spread and the development of herpes encephalitis.

History

  • Patients present with complaints of pain and swelling of a finger, typically with characteristic vesicular lesions. The most commonly involved digits are the thumb and index fingers.
  • History of a prodrome of fever or malaise may precede the onset of symptoms by several days.
  • Similar previous problems in the same digit suggest that the patient is presenting with an episode of reactivation and recurrence.
  • Patients should be questioned about any recent possible exposure.
  • Health care workers with a history of exposure to oral or genital secretions are at risk.
  • Patients in the general population with a history of caring for or coming in contact with someone that has typical lesions are at risk.
  • Since autoinoculation is a common route, especially in children, ask about recent episodes consistent with herpes labialis or herpetic gingivostomatitis. In adults, inquire about a history of symptoms consistent with genital herpes

FAQ’s for Herpetic Whitlow

  • What are the signs and symptoms?
  • Mode of infection of herpetic whitlow?
  • What is the Department Care and follow up care of herpetic whitlow?
  • What are the Deterrence/Prevention of herpetic whitlow?
  • What are the Complications of herpetic whitlow?
  • How the infection develops?
  • What is the treatment and prevention for herpetic whitlow?

Herpetic Whitlow Picture

Herpetic Whitlow

Herpes Treatment– A beautiful melange of time-tested resonance homeopathic medicines and homotoxological remedies so as to stimulate the immune system to heal itself following nature’s laws.

Symptoms caused by HSV 1 infection (HSV 1 is known to affect the following areas of the body.)

    • Oral Herpes It involves oropharyngeal herpes, stomatitis (inflammation of mouth), herpes labialis (involvement of the lips) and gingivitis (inflammation of gums).
    • Ocular Lesions (eye herpes) Keratitis, herpetic keratoconjunctivitis
    • Cutaneous Cold Sores
  • Herpetic Whitlow

After reviewing the following data you are now in a position to take an informed decision. We hope you make the right choice and we will be with you on your journey to recovery. Please get in touch with any of our Doctors if you need any further information.

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All our products are made in FDA compliant GMP certified Laboratories in Germany, Switzerland, USA, India, and Spain. They are appropriately registered with the FDA as Dietary supplements, Homeopathic attenuations or Ayurvedic herbs. Utmost care is taken to ensure optimum quality and purity. Biogetica is a website visited from across the globe. Some countries consider Ayurveda, TCM, Supplements, Bioenergetics and Homeopathy to be medicine, while others do not. In order to comply with various FDA norms of numerous nations we say:

Ayurveda & Homeopathy may or may not qualify as medicine in your home jurisdiction. The complementary advice of our practitioners who are considered Homeopathic and Ayurvedic Doctors in some jurisdictions does not replace the medical advice given by your primary care physician. Biogetica’s Homeopathic products may be used for treatment of self limiting over the counter ailments in USA, India & Europe that support Homeopathy for OTC use. Biogetica’s Herbal remedies from the Ayurvedic, Chinese and other traditions may only be used to balance the 5 elements and rejuvenate organ systems in countries where Herbs, Ayurveda and TCM are not considered medicine. Biogetica’s ground breaking supplements may only be used to support the ideal structure and function of the various systems in the Human Body.

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What we do is simply point you and your Doctors to independent research from all sources that we know of, on the ingredients or entire formulation of our natural products, which are Herbal, Ayurvedic, Bioenergetic, Homeopathic and Complementary in nature. We invite you to read these studies on our clinical trials page or on scholar.google.com. Results may vary from person to person as is depicted in the wide range of results seen in the clinical trials.

 

 

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