Hurst L C, Gluck R, Sampson S P, Dowd A
Department of Orthopaedic Surgery, SUNY-Stony Brook School of Medicine 11794.
J Hand Surg Am. 1991 Mar;16(2):311-4. doi: 10.1016/s0363-5023(10)80117-0.
The herpetic whitlow should be treated nonoperatively. However, a difficult therapeutic dilemma occurs when a whitlow is seen with an established bacterial abscess. We report a case of an adult whose first herpetic whitlow was complicated by secondary periungual abscesses that progressed despite intravenous antimicrobial therapy. Surgical drainage of these periungual abscesses was successfully done in conjunction with intravenous acyclovir with no adverse effects.
疱疹性瘭疽应采用非手术治疗。然而，当瘭疽合并已确诊的细菌性脓肿时，就会出现治疗难题。我们报告一例成年患者，其首次发生的疱疹性瘭疽并发了继发性甲周脓肿，尽管采用了静脉抗菌治疗，病情仍有进展。对这些甲周脓肿进行手术引流，并联合静脉注射阿昔洛韦，治疗成功且无不良反应。
