![](/images/graphics-bg.png)
A Case Report of Herpetic Whitlow with Positive Kanavel’s Cardinal Signs: A Diagnostic and Treatment Difficulty
المؤلفون المشاركون
Brkljac, Milos
Bitar, Samer
Naqui, Zafar
المصدر
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-3، 3ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-11-04
دولة النشر
مصر
عدد الصفحات
3
التخصصات الرئيسية
الملخص EN
Herpetic whitlow is an acute viral infection of the hand caused by either herpes simplex virus (HSV) 1 or 2.
Its characteristic findings are significant pain and erythema with overlying nonpurulent vesicles.
The differential diagnosis includes flexor tenosynovitis.
We present a case of recurrent infection of the middle finger in an immunocompetent 19-year-old girl.
Multiple painful pustules with tracking cellulitis were partially treated by oral antibiotics.
A recurrence with positive Kanavel’s signs suggested flexor tenosynovitis at seven months.
Her symptoms improved transiently following emergent surgical open flexor sheath exploration and washout however, she required two further washouts; at eleven and thirteen months to improve symptoms.
Viral cultures were obtained from the third washout as HSV infection was disclosed from further history taking.
These were positive for HSV2.
Treatment with acyclovir at thirteen months after presentation led to a complete resolution of her symptoms with no further recurrences to date.
This rare case highlights the similarity in presentation between flexor sheath infection and herpetic whitlow which can lead to diagnostic confusion and mismanagement.
We emphasise the importance of careful past medical history taking as well as considering herpetic whitlow as a differential diagnosis despite the presence of strongly positive Kanavel’s signs.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Brkljac, Milos& Bitar, Samer& Naqui, Zafar. 2014. A Case Report of Herpetic Whitlow with Positive Kanavel’s Cardinal Signs: A Diagnostic and Treatment Difficulty. Case Reports in Orthopedics،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1017475
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Brkljac, Milos…[et al.]. A Case Report of Herpetic Whitlow with Positive Kanavel’s Cardinal Signs: A Diagnostic and Treatment Difficulty. Case Reports in Orthopedics No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-1017475
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Brkljac, Milos& Bitar, Samer& Naqui, Zafar. A Case Report of Herpetic Whitlow with Positive Kanavel’s Cardinal Signs: A Diagnostic and Treatment Difficulty. Case Reports in Orthopedics. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1017475
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1017475
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
![](/images/ebook-kashef.png)
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
![](/images/kashef-image.png)