acyclovir and Cellulitis

We report a case of indolent herpetic whitlow of the toe occurring in an elderly male patient with poorly controlled diabetes mellitus. In this case, the mechanism of transmission was not clear, although he was in a habit of taking a hot spring bath. This patient's symptoms were unusual for herpes simplex; he had no pain in the presence of diabetic neuropathy. The standard therapeutic dose of acyclovir was not effective in suppressing the lesions, and a higher dose was required to induce complete healing.

Topics: Acyclovir; Aged; Antiviral Agents; Cellulitis; Diabetic Foot; Diabetic Neuropathies; Foot Dermatoses; Herpes Simplex; Herpesvirus 1, Human; Humans; Hypesthesia; Male; Toes

Topics: Acyclovir; Antiviral Agents; Bacteremia; Catalase; Catheterization; Cellulitis; Contusions; Female; Floxacillin; Hematoma; Herpes Labialis; Humans; Middle Aged; Myelodysplastic Syndromes; Penicillins; Staphylococcal Infections; Staphylococcus aureus

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Topics: Acyclovir; Adolescent; Antiviral Agents; Asian People; Cellulitis; Facial Dermatoses; Herpes Simplex; Herpesvirus 1, Human; Humans; Male; Republic of Korea; Sports; Wrestling

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.

Topics: Acyclovir; Antiviral Agents; Cellulitis; Child, Preschool; Foot Dermatoses; Herpes Simplex; Herpesvirus 1, Human; Humans; Male; Toes

Topics: Acyclovir; Aged; Anti-Inflammatory Agents; Antiviral Agents; Arthritis, Rheumatoid; Buttocks; Cellulitis; Eosinophilia; Female; Herpes Genitalis; Humans; Prednisone; Pregabalin; Valacyclovir; Valine

Topics: Abdominal Wall; Acyclovir; Administration, Cutaneous; Aged; Anti-Bacterial Agents; Antiviral Agents; Bacteremia; Body Mass Index; Cellulitis; Dementia; Drug Therapy, Combination; Herpes Zoster; Humans; Immunocompromised Host; Injections, Intravenous; Leukemia, Lymphocytic, Chronic, B-Cell; Male; Malnutrition; Piperacillin; Pseudomonas aeruginosa; Risk Factors; Severity of Illness Index; Skin Cream; Torso; Treatment Outcome

Topics: Acyclovir; Antiviral Agents; Blister; Cellulitis; Female; Herpes Zoster; Herpesvirus 3, Human; Humans; Immunocompromised Host; Kidney Transplantation; Middle Aged; Treatment Outcome; Virus Activation

Topics: Acyclovir; Adult; Cellulitis; Fingers; Fluorescent Antibody Technique; Herpes Simplex; Herpesvirus 2, Human; Humans; Male; Recurrence