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Although staph has become the most commonly discussed infection in combat sports, another type of contagious skin infection still lurks in gyms around the world.

In fact, the condition is so widespread that it’s earned plenty of nicknames, including “wrestler’s pox” and “mat pox.”

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In our latest edition of “Ask the Fight Doc,” MMAjunkie.com medical columnist Dr. Johnny Benjamin discusses herpes gladiatorum, how it spreads, how it’s treated, and whether it can end a fighter’s career.

* * * * MRSA seems to be getting all the attention in the Brazilian jiu jitsu and MMA world. However, there is another contagious skin infection that is also a problem, herpes gladiatorum. How widespread is it? How contagious is it? If contracted, how is it treated? And will this infection end a fighter’s career? – A concerned fighter

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This is a great topic for all those readers who think that I offer too much opinion and too little information.

Herpes gladiatorum, which is often referred to as “wrestler’s pox” or “mat pox,” is a very common condition. It usually comes in an outbreak when a cluster of team members or gym mates contract the viral illness at roughly the same time.

Clusters of fluid-filled lesions or blisters commonly appear on the head/face, neck, chest/torso and arms/legs – which are all areas of close contact during grappling.

Direct contact with an affected individual or indirect contact with a contaminated surface (gym mat or exercise equipment) is the usual mode of transmission, which makes the condition so prevalent among MMA fighters.

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The rash may or may not be painful and frequently is associated with itching, headaches, fever and sore throat; the rash and symptoms usually last seven to 10 days.

Since this is a viral illness, antibiotics usually have no significant role in treatment (unless you can’t keep your dirty little fingers off it and get it infected). Zovirax and Valtrex are the most common drugs of choice for treating the outbreak.

Once infected, a person will always be a carrier and may suffer future outbreaks. A carrier may transmit this virus at any time, but transmission is far more likely when blisters are present.

Fortunately, with proper personal and mat hygiene, skin inspection and the prohibition of fighters with skin lesions from training and/or entering competition, a fighter and his gym mates can continue to enjoy rolling on the mat.

Dr. Johnny Benjamin is MMAjunkie.com’s medical columnist and consultant and a noted combat-sports specialist. He is also a member of the Association of Boxing Commissions’ MMA Medical Subcommittee. Dr. Benjamin writes an “Ask the Fight Doc” column every two weeks for MMAjunkie.com. To submit a question for a future column, email him at askthedoc [AT] mmajunkie.com, or share your questions and thoughts in the comments section below. You can find Dr. Benjamin online at www.drjohnnybenjamin.com, and you can read his other sports-related articles at blog.drjohnnybenjamin.com.

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