Impervious

Haggerty and Halsey report a case of a 23-year-old medical technician endured a difficult lesson on the value of disposable gloves. The patient was diagnosed with acyclovir-resistant herpetic whitlow due to HSV-2 infection. His HSV infection has resulted in significant morbidity, causing not only pa...

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Veröffentlicht in:The American journal of medicine 2009-03, Vol.122 (3), p.239-241
Hauptverfasser: Haggerty, Paul F., MD, Halsey, Eric S., MD
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container_title The American journal of medicine
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creator Haggerty, Paul F., MD
Halsey, Eric S., MD
description Haggerty and Halsey report a case of a 23-year-old medical technician endured a difficult lesson on the value of disposable gloves. The patient was diagnosed with acyclovir-resistant herpetic whitlow due to HSV-2 infection. His HSV infection has resulted in significant morbidity, causing not only painful lesions but also restriction of clinical duties. In addition to multiple treatments with oral antiviral medications, he was given trials of topical imiquimod and cidofovir, both without lasting success. This case highlights the necessity of adherence to standard precautions and the use of personal protective equipment; the importance of considering antiviral resistance in immunocompetent patients; the need for new treatment strategies in HSV infections; and the need for further investigation into the correlation of low CD4 counts and HSV outbreaks.
doi_str_mv 10.1016/j.amjmed.2008.11.007
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subjects Antiviral Agents - administration & dosage
Biological and medical sciences
Disease management
Drug Resistance, Viral
General aspects
Hand Dermatoses - drug therapy
Hand Dermatoses - virology
Health Personnel
Herpes Simplex - drug therapy
Herpes Simplex - transmission
Herpes viruses
Herpesvirus 2, Human - isolation & purification
Humans
Infectious Disease Transmission, Patient-to-Professional
Internal Medicine
Male
Medical diagnosis
Medical sciences
Medical supplies
Nosocomial infections
Occupational Diseases - drug therapy
Occupational Diseases - virology
Young Adult
title Impervious
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