Glogau R, Hanna L, Jawetz E
J Infect Dis. 1977 Nov;136(5):689-92. doi: 10.1093/infdis/136.5.689.
Lesions on fingers or hands caused by Herpesvirus hominis have in the past been attributed to inoculation with virus-containing oropharyngeal secretions. Often these "herpetic whitlows" were caused by H. hominis type 1 and occurred in medical personnel. A recent series of 13 recurrent "herpetic whitlows" yielded 11 isolates of H. hominis type 2 and only two of H. hominis type 1. None of the subjects was engaged in patient care, and none had oral or facial herpetic lesions. Nine of the 11 infections due to H. hominis type 2 were in females, and more than half were associated with genital herpetic lesions. Herpetic finger or hand lesions in adults appear to be a common part of genital virus infections caused by H. hominis type 2 and are not associated with infections acquired in hospitals or during primary gingivostomatitis.
过去，人疱疹病毒引起的手指或手部损伤被认为是由含有病毒的口咽分泌物接种所致。这些“疱疹性瘭疽”通常由1型人疱疹病毒引起，多发生在医务人员身上。最近一组13例复发性“疱疹性瘭疽”病例中，分离出11株2型人疱疹病毒，仅2株1型人疱疹病毒。所有病例均未从事患者护理工作，也没有口腔或面部疱疹损伤。11例由2型人疱疹病毒引起的感染中，9例为女性，半数以上伴有生殖器疱疹损伤。成人的疱疹性手指或手部损伤似乎是2型人疱疹病毒引起的生殖器病毒感染的常见表现，与医院感染或原发性龈口炎期间获得的感染无关。
