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recurrent cutaneous outbreaks. Conclusion
Recurrent outbreaks may be
preceded by pain or tingling at Cutaneous infections are common in
the site of the oncoming lesions. athletes. Vigilance is important on
Athletes with recurrent HSV the part of athletes, trainers, coaches
can shed the virus intermittently and team physicians to make sure
between episodes, even in the that an infection in one athlete does
absence of lesions.6 not lead to a widespread outbreak.
Treatment: It is not possible to There are a number of simple
cure HSV but oral antivirals, such strategies that can be used to increase
as valacyclovir, can shorten the the hygiene of athletes and teams,
duration of an attack if started thus helping to prevent the spread
early. The use of antivirals can of cutaneous infections.
also decrease the chance of
transmission.6

References

1. Turbeville SD, Cowan LD, Greenfield RA. Infectious disease outbreaks in competitive sports: a review of the literature.
Am J Sports Med. 2006. 34(11): p. 1860-5.

2. Marcotte AL and Trzeciak MA. Community-acquired methicillin-resistant Staphylococcus aureus: an emerging pathogen
in orthopaedics. J Am Acad Orthop Surg. 2008. 16(2): p. 98-106.

3. Kirkland EB and Adams BB. Methicillin-resistant Staphylococcus aureus and athletes. J Am Acad Dermatol. 2008. 59(3):
p. 494-502.

4. Zinder S, Basler RSW, Foley J, Scarlata C, Vasily DB. National Athletic Trainers’ Association Position Statement: Skin Diseases.
Journal of Athletic Training. 2010. 45(4): p. 411-428.

5. Matava M, Geier CD. Methicillin-Resistant Staphylococcus Aureus Skin Infections in Athletes. The American Orthopaedic
Society for Sports Medicine, Sports Medicine Update. 2008: p. 1-4.

6. Pecci M, Comeau D, and Chawla V. Skin conditions in the athlete. Am J Sports Med. 2009. 37(2): p. 406-18.
7. Adams BB. Dermatologic disorders of the athlete. Sports Med. 2002. 32(5): p. 309-21.
8. Adams BB. Sports dermatology. Dermatol Nurs. 2001. 13(5): p. 347-8, 351-8, 363.
9. Bernard P. Management of common bacterial infections of the skin. Curr Opin Infect Dis. 2008. 21(2): p. 122-8.
10.Stevens DL, et al. Linezolid versus vancomycin for the treatment of methicillin-resistant Staphylococcus aureus infections.

Clin Infect Dis. 2002. 34(11): p. 1481-90.
11.Belongia EA, et al. An outbreak of herpes gladiatorum at a high-school wrestling camp. N Engl J Med, 1991. 325(13): p. 906-10.

© AMERICAN ORTHOPAEDIC SOCIETY FOR SPORTS MEDICINE, 2010, ALL RIGHTS RESERVED

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