Rieger H, Thiem P
Klinik und Poliklinik für Unfall- und Handchirurgie, Universität Münste.
Dtsch Med Wochenschr. 1996 Sep 6;121(36):1090-2. doi: 10.1055/s-2008-1043111.
An 18-month-old infant was admitted for a suspected bacterial hand infection that had developed within 2 days. Examination demonstrated multiple vesicles with erythema involving the dorso-ulnar aspect of the thumb. The infant was in a good condition, had no constitutional symptoms and a history of gingivo-stomatitis 6 months ago.
The diagnosis of herpes simplex infection was based on the history and the clinical findings.
Treatment consisted of dry dressings, and over the next 3 weeks, the lesion healed without scarring.
Herpes simplex virus infection of the hand is uncommon, often misdiagnosed and therefore overtreated or inadequately treated. Usually the diagnosis can be made from history and clinical findings. In general, the infection is managed conservatively. Treatment by incision and drainage is contraindicated.
一名18个月大的婴儿因疑似在2天内发生的细菌性手部感染入院。检查发现拇指背尺侧有多个伴有红斑的水疱。婴儿状况良好，无全身症状，6个月前有牙龈口炎病史。
单纯疱疹感染的诊断基于病史和临床发现。
治疗包括使用干燥敷料，在接下来的3周内，病变愈合且无瘢痕形成。
手部单纯疱疹病毒感染并不常见，常被误诊，因此治疗过度或治疗不足。通常根据病史和临床发现即可做出诊断。一般来说，该感染采取保守治疗。禁忌切开引流治疗。
