Viral and Parasitic Skin Infections
Cold sores are small blisters around the mouth that are caused by herpes simplex virus.
Herpes simplex is not curable. Hot sun, a cold wind, or coming down with a cold may bring on an outbreak of herpes
simplex virus. Viral infections of the skin include cold sores, herpes zoster (shingles) and warts.
Parasitic infections of the skin include creeping eruption, lice and scabies.
Viral Skin Infections:
There are three main groups of viral skin infections they are papillomavirus, herpes simplex virus and
poxvirus.
Cold sores are small blisters around the mouth that are caused by herpes simplex virus. Herpes simplex is not
curable. Hot sun, a cold wind, or coming down with a cold may bring on an outbreak of herpes simplex virus. You may
feel a tingling of the lips before seeing the cold sore or may feel an itching or irritation of the lips or
mouth.
Shingles is also known as Herpes Zoster and is a common infection involving blisters on the skin anywhere on the
body. The pain from this infection can last for months. This infection is common in persons with depressed immune
systems and in those who are over 50 years of age. The symptoms of shingles include skin sensitivity or pain in the
area where the rash appeared, the rash lasts longer than five days and you may have blisters that turn yellow and
then dry leaving small, pitted scars. You may have early symptoms of headache, fever, and gastrointestinal
upset.
Warts are caused by a virus and are noncancerous skin growths. Children often get warts. Warts can spread by
skin-to-skin contact. There are different types of warts, common, foot, flat, genital and filiform.
Parasitic Skin Infections:
Small insects and worms burrow into the skin where they live and lay their eggs. Creeping eruption is caused by
hookworms. The parasite is spread to humans by contact with the feces of cats and dogs who have hookworms. If you
have this infection you may have severe itching of the feet, legs, back or buttock regions. You may see a winding
rash caused by the hookworm burrowing into a tract. The treatment for creeping eruptions is liquid thiabendazole
and other various topical ointments.
Lice are tiny insects that can infest the skin anywhere on the body. You can have them on your head, body or in
the pubic area. Lice are highly contagious and can be spread from one person to another when there is close body
contact, sharing of clothes or other personal items like hairbrushes, hats and combs. Head lice are common in
school aged kids, and in childcare settings. The eggs of lice are called nits and are difficult to remove. Body
lice are seen most often on individuals who have poor personal hygiene. Pubic lice is very contagious and can be
transmitted by sexual contact with an infected person, by using towels or clothing of someone who has public lice.
Medicated cream rinse and shampoo are used to treat head and pubic lice. Nits need to be combed out. Body lice does
not need medication they will disappear with improved personal hygiene. Bed sheets and blankets need to be washed
to prevent re-infestation.
Scabies are caused by mites (tiny insects). This infection can be spread from one person to another, usually
from sleeping together and when having close personal contact. Symptoms may take up to six weeks to appear after
contact. Young kids can get hem on the head, neck, palms and the soles of the feet. Older kids and adults can have
them on the hands, between fingers, along the belt line, around the belly button, in the groin area and around
breasts and in the armpits. The symptoms include itching, rash with small pimples or red bumps. The advanced
symptoms include scaly or crusty skin. Scabies is treatable. All members of the family must be treated to prevent
re-infestation. Treatment is with prescription creams and lotions and oral medication (antihistamine) to relieve
the itching. Topical ointments may be recommended also. All bedding and clothes must be washed in hot water and
dried in a hot dryer. Also any pillows or stuffed animals must also be washed. If they cannot be washed they should
be put into a plastic bag for at least one week. The itching may last for an entire week after treatment has
begun.
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