{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T09:22:35Z","timestamp":1760865755438,"version":"3.44.0"},"reference-count":3,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 9-month-old baby girl presented multiple times with an erythematous, papular and pustular big toe in an otherwise healthy infant. A diagnosis of cellulitis was made and she was started on oral antibiotics, and bacterial swabs were taken. After 2\u2005weeks of worsening appearance she was admitted for intravenous antibiotics. Inflammatory markers remained normal and viral swabs were taken. No improvement was seen after 2\u2005days and she was referred for orthopaedic and dermatological opinions. The orthopaedic team recommended debridement whereas the dermatologist suspected a primary herpetic whitlow and recommended intravenous acyclovir in addition to intravenous antibiotics. A viral swab for Herpes simplex virus type 1 (HSV1) was positive by PCR on day 3. The toe continued to improve clinically and the patient received 21\u2005days of acyclovir in total. 27\u2005days after discharge the infection relapsed. She was treated with a further 14\u2005days of oral acyclovir and recovered completely.<\/jats:p>","DOI":"10.1136\/bcr-2013-008598","type":"journal-article","created":{"date-parts":[[2013,2,22]],"date-time":"2013-02-22T01:56:39Z","timestamp":1361498199000},"page":"bcr2013008598","source":"Crossref","is-referenced-by-count":4,"title":["Recurrent primary paediatric herpetic whitlow of the big toe"],"prefix":"10.1136","volume":"2013","author":[{"given":"Alexander P","family":"Murphy","sequence":"first","affiliation":[{"name":"Department of Paediatrics, Southport and Ormskirk NHS, Ormskirk, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Premkumar","family":"Martin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cecilia M","family":"Jukka","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Southport and Ormskirk NHS, Ormskirk, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aamir","family":"Memon","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Southport and Ormskirk NHS, Ormskirk, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sze May","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Southport and Ormskirk NHS, Ormskirk, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,2,21]]},"reference":[{"key":"2025082707404572000_2013.feb21_1.bcr2013008598.1","doi-asserted-by":"publisher","DOI":"10.1007\/s004310100800"},{"key":"2025082707404572000_2013.feb21_1.bcr2013008598.2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1104967"},{"key":"2025082707404572000_2013.feb21_1.bcr2013008598.3","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/S0363-5023(79)80114-8","article-title":"Invited comments","volume":"4","author":"Carter","year":"1979","journal-title":"J Hand Surg (Am)"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-008598","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:40:53Z","timestamp":1756305653000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-008598"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,2,21]]},"references-count":3,"alternative-id":["10.1136\/bcr-2013-008598"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-008598","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,2,21]]}}}