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Building Blocks of Clinical Practice Helping Athletic Trainers Build a Strong Foundation Issue #3: Viral Infections of the Skin Herpes Gladiatorum



spreads through direct skin to skin contact • Common sites include the head, upper extremity and trunk Signs and Symptoms: • Usually begins with tingling or burning at infected site followed by clusters of vesicles on an erythematous base that with time become crusted • Infection may also involve fever, lymphadenopathy, malaise or myalgia Diagnosis: • Based upon appearance and clinical grounds Treatment: • Antiviral medication in early stages; Topical benzoyl peroxide if lesions are ulcerated; Antiviral medications may be taken prophylactically • Athlete should be withheld from any participation until athlete is asymptomatic, there are no new lesions for three days and there is a firm crust on each lesion and the athlete has been taking antiviral medication five days Prevention: • Covering skin lesions does not reduce or prevent infection from spreading • Practice good hygien

Year: 2013
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