I just went back and reviewed this thread and something hit me! (
Musta been my hand!)
Herpes is a episodic condition! That is, the symptoms only happen in episodes. They will appear, be present for a few days and then dissappear to reappear weeks months or years later. That is not what has happened with this child. This infection has been going on on a pretty much continious basis for months as would a bacterial or fungal infection. I'd put some pretty serious money on it that it's not herpes.
Now here I'm going to be giving some of that "bad medical advise" that I've been accused of giving lately.
: To diagnose this infection, a culture is absolutely essential. It's not expensive, painful, invasive or anything else. It is also very accurate and a basic diagnostic tool. Since the doctor hasn't used it and has allowed this to continue so long, I think it's time to give her the boot and find a doctor that is competent. Just do it!
Now, bear in mind that although a medication is recommended for specific pathogens, (bacteria or fungi) a particular medication does not always work on those pathogens. If the NEW doctor recommends the same medication, just ask him/her to prescribe a different med or brand. We're gonna get this thing whipped!
Just slightly OT . . . Many years ago, I had regular outbreaks of cold sores as caused by the herpes simplex I virus. I would have an outbreak on average of once every 8 or 9 months and I just hated them. It would also affect my job because I had a lot of public contact and I tended to go into seclusion when I had these outbreaks. I just had to do something!
I got to thinking about the virus. It does not survive outside the body and the way it is transmitted is through kissing. Likewise, herpes simplex II that is responsible for genital herpes is transmitted via sex. You simply can not get either one from the toilet seat because of the short life span outside the body.
So, I thought, what can change just one factor that would change the virus's environment so that it couldn't survive? The only thing I could think of was to change the temperature. When I would be in the very begining stages of an outbreak, I would feel a tingling sensation in my lip. I started applying ice to that tingling spot and I would keep applying ice for most of the day. In the 20 or so years since then, I have not had a single cold sore erupt. I've had a slight red bump but the cold sore never came through. The red bump was so slight that no one other than me noticed it. I've also noticed that the episodes came farther apart and the last was more than 6 years ago.
I told a GF about this and she tried it and now she is a believer. She hasn't had an eruption in years either and I told two other friends and they have had similar results.
If my theory is wrong about the mechanics of how this works, it appears that the ice has something to do with it. Are there any medical researchers lurking on this forum looking for their next research project?