格闘家ヘルペスと水疱性膿痂疹の合併例─キックボクシングによる感染─

・キックボクシングの試合にて感染したと考えられた，水疱性膿痂疹と格闘家ヘルペスの合併例を経験した．

・水疱性膿痂疹を思わせる皮膚症状を呈していたが，発熱・リンパ節腫脹といった全身症状を伴っていたこと，小水疱を認めていたことで格闘家ヘルペスと診断することができた．

・抗菌薬投与に加えアシクロビル投与で改善した．

（「症例のポイント」より）

　

A case of herpes gladiatorum with bullous impetigo induced by kickboxing

　

Kimura, Tetsuko1）Hayashi, Hiroaki1）Yamamoto, Takenobu2）Fujimoto, Wataru1）Aoyama, Yumi1） 1）Department of Dermatology, Kawasaki Medical School 2）Department of Dermatology, Kawasaki Medical School General Medical Center

　

16-year-old man presented with erythematous papules on his middle forehead on the day following a kickboxing match. The rash worsened with fever. Systemic antibiotics such as cefcapene pivoxil and vancomycin for bullous impetigo were not effective in fever response. Herpes gladiatorum with bullous impetigo was diagnosed by detection of MSSA with exfoliative toxin-A and HSV-1 in skin lesions. Systemic acyclovir and topical Nadifloxacin reduced fever and induced quick crust formation. Herpes gladiatorum is an infection of HSV occurring among those who engage in combative sports. HSV-1 may have been transmitted from the opponent in the kickboxing match.