Usually confined to a small area of a fingertip; Abrupt onset of redness and swelling followed by skin vesicles; [PPID, p. 1722]
Dental and medical workers are at risk for herpes (usually HSV-1) hand infection after exposure to the infected saliva of patients. [CCDM, p. 278] Healthcare workers should be restricted from patient contact and contact with the patient's environment until the lesions heal. [CDC Personnel Health Guidelines] The lesion is difficult to distinguish from a bacterial pustule. Patients may have fever and regional adenopathy. Infections may recur. A similar infection occurs in wrestlers on any part of the body--herpes gladiatorum. [PPID, p. 1722] Lymphangitis and lymphadenitis are rare, but may occur with the primary infection. [5MCC-2015]
For updated text and symptoms of infectious diseases, see iddx.com.