Herpes Simplex Virus-1

Herpes labialis (cold sore)

Herpes labialis

• 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