Differential Diagnosis Herpetic whitlow is most commonly mistaken for paronychia (a localized bacterial abscess in the nail fold) or bacterial felon (digital pulp abscess). The pale-yellow color of the vesicles may suggest pyogenic infection, but incision or needle aspiration will not demonstrate frank pus.What do you need to know about herpetic whitlow?
Herpetic whitlow is a finger infection. It's usually caused by the herpes virus that causes cold sores. It can spread to a finger from a cold sore in or around your mouth. Whitlow also can be caused by the virus that causes genital herpes. An area of your finger may be red. It may have a small group of blisters.What causes herpetic whitlow?
Herpetic whitlow. Occasionally infection occurs on the toes or on the nail cuticle. Herpes whitlow can be caused by infection by HSV-1 or HSV-2. HSV-1 whitlow is often contracted by health care workers that come in contact with the virus; it is most commonly contracted by dental workers and medical workers exposed to oral secretions.How long does herpetic whitlow last?
One or more fluid-filled vesicles on the finger, swelling, discomfort, or redness are characteristics of herpetic whitlow. It can be confused with a felon or paronychia since some symptoms are similar. 14,22 The virus usually resolves on its own in 10 to 14 days, so medical management does not involve surgery.