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表现为严重病毒性蜂窝织炎的趾部疱疹性瘭疽。

Herpetic whitlow of the toe presenting with severe viral cellulitis.

作者信息

Collier Erin, Parikh Priya, Martin-Blais Rachel, Chen Jason, Anand Vikram

机构信息

Department of Pediatrics, David Geffen School of Medicine at University of California, Los Angeles, California.

Division of Pediatric Infectious Diseases, Department of Pediatrics, Cedars-Sinai Medical Center, Los Angeles, California.

出版信息

Pediatr Dermatol. 2019 May;36(3):406-407. doi: 10.1111/pde.13795. Epub 2019 Mar 11.

DOI:10.1111/pde.13795
PMID:30859616
Abstract

Herpetic whitlow of the toe is a common infection in an uncommon location, leading it to be frequently misdiagnosed; however, as the virus responds well to conservative management or antivirals alone, proper identification is necessary to prevent unnecessary interventions. We present a case of herpetic whitlow of the toe with an unusually ominous appearance in a previously healthy and otherwise well-appearing child. This case illustrates the spectrum of herpetic whitlow's clinical presentations and enourages consideration of the disease even for atypical location and severity.

摘要

脚趾疱疹性瘭疽是一种发生于不常见部位的常见感染,常导致误诊;然而,由于该病毒对保守治疗或仅使用抗病毒药物反应良好,因此需要正确识别以避免不必要的干预。我们报告一例脚趾疱疹性瘭疽病例,该病例发生在一名既往健康、外表正常的儿童身上,其外观异常凶险。本病例说明了疱疹性瘭疽的临床表现范围,并鼓励即使对于非典型部位和严重程度的情况也要考虑到这种疾病。

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