Herpes Simplex Virus-1

• Herpes labialis (cold sore)
  • typically umbilicated vesicles, painful, that unroof and crust over
  • typically localized to the vermillion border
• Herpes gingivostomatitis
• Herpetic Whitlow
  • Ensure that has not spread to cornea
• Eczema herpeticum
  • Development of vesicular eruptions in areas of epidermis previously affected by atopic dermatitis
  • fever is common
  • May be life-threatening
  • Treatment to cover Staph and Strep
  • Bactrim 10mg/kg/d in 2 divided doses OR clindamycin 24mg/kg/d divided into 3 doses x10d
  • Acyclovir 80mg/kg/d in 3 divided doses x10

See Also

• Pediatric Rashes
• Herpes Viruses

Source

Tintinalli