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If the above diagnoses are inconclusive or if a treatment regimen has already been started, a biopsy of the affected skin (i.e.
Spray tub and bathroom floor with disinfectant after each use to help prevent reinfection and infection of other household members. Wash feet, particularly between the toes, with soap and dry thoroughly after bathing or showering. If you have experienced an infection previously, you may want to treat your feet and shoes with over-the-counter drugs. Dry feet well after showering, paying particular attention to the web space between the toes. Try to limit the amount that your feet sweat by wearing open-toed shoes or well-ventilated shoes, such as lightweight mesh running shoes.
After any physical activity shower with a soap that has both an antibacterial and anti-fungal agent in it.
Acetaminophen or ibuprofen may help reduce fever and pain caused by the herpes simplex virus sores.
If you develop a tender, painful sore on the finger, see a physician, especially if it is not going away or if it seems to be getting worse.


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Herpetic whitlow is caused by infection with the herpes simplex virus (HSV).Infections with HSV are very contagious and are easily spread by direct contact with infected skin lesions. You should definitely seek medical attention if you have a finger sore as well as typical symptoms of oral or genital herpes.
On occasion, however, a swab from the infected skin may be sent to the laboratory for viral culture, which takes a few days to grow.
HSV infection usually appears as small blisters or sores around the mouth, nose, genitals, and buttocks, though infections can develop almost anywhere on the skin. Children often contract herpetic whitlow as a result of thumb- or finger-sucking when they have a herpes infection of the lips or mouth. Small (1–3 mm) fluid-filled blisters develop, often clustered together on a bright red base.
Blood tests may also be performed.Untreated HSV infections will go away on their own, but medications can reduce the symptoms and shorten the duration of outbreaks.


Dental and medical workers may contract herpetic whitlow by touching the contagious lesions of a patient with herpes simplex virus infection.
HSV-1 infections usually occur around the mouth, lips, nose, or face, while HSV-2 infections usually involve the genitals or buttocks. Recurrent herpetic whitlow is rare.However, people with recurrent HSV infections may report that the skin lesions are preceded by sensations of burning, itching, or tingling (prodrome).
Because it is so contagious, the herpes simplex virus causes a primary infection in most people who are exposed to the virus.
However, only about 20% of people who have a primary infection with the herpes simplex virus actually develop visible blisters or sores.



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