Eruptions are verrucas History of flareup after intralesional inj of steroid for calcaneal spur These are herpes zoster Rx tab acyclovir 800mg 5times a day for 7days Tab belastine 20mg 1od Tab azithromycin 500mg 1od Tab gabapentin 300mg+tab nortryptiline 10mg 1od at bedtime Tab neurobion forte 1od Locally acyclovir oint frequently Xylocaine gelly for instant relief NSAIDs as required Strict control of diabetes Review every week
Herpetic whitlow . It is an infection created by the herpes simplex virus (HSV). The infection produces a painful wound called a whitlow on the fingers. Caused by the herpes simplex virus (HSV), herpetic whitlow occurs mostly on the fleshy part of the index finger or thumb.
IT'S A..CASE OF.. ? HERPES ZOSTER.. NEED'S.. * STRICT GLYCEMIC CONTROL WITH ANTIDIABETIC MANAGEMENT WITH EXPERTS OPINION.. * ACYCLOVIR ORALLY AS WELL TOPICALLY AS PER REQUIREMENT.. * SYMPTOMATIC T/T..
?? Herpes / Dyshidrotic Eczema / ID Reaction
HZ Adv. Acyclovir
Pus filled pustules on foot Adv Antibiotic with gram positive cover E.g. Tab. Linezolid 600 mg twice a day Strict control of diabetes with insulin Observe for increase in size of pustules, of required drain them and send pus for culture Limb elevation Ecosprin, Cilostazole and Atorvastatin may be added in order to improve circulation
Herpes zoster is viral infection that occurs with reactivation of the varicella-zoster virus. It is usually a painful but self-limited dermatomal rash. Symptoms typically start with pain along the affected dermatome, which is followed in 2-3 days by a vesicular eruption.
???Herpes zoster ??? HSV ???ACD... with SSTI Neurokind G.. BID Tab cefixime 200 mg BID..for SSTI
SUGGESTIVE OF HERPES ZOSTER SECONDARY. TO .. CHRONIC DIABETIC. INFECTION
Teni pedis with secondary infections. DD Herpes zoster
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Friends today I am discussion about a savere disease. Shingles/Herpes Zoster Shingles or herpes zoster is an infection which is characterized by a painful blistering skin rash. The rash usually affects one side of the body, i.e. the torso and/or one side of the face. It appears in a band formation and therefore the name ‘shingles’, which is Latin for ‘belt’. Shingles is caused by the same virus that causes chickenpox, called the varicella-zoster virus. The initial warning symptoms appear one to five days before the rash appears. You will feel the warning signs on the location where the rash will appear. These initial symptoms include itching, pain, burning, pricking and stabbing sensation, followed by high fever, chills and muscle pain. The tell-tale rash appears soon after. When a person (usually children) gets infected by the varicella-zoster virus, he/she develops chickenpox. After the chickenpox heals, the virus remains in a dormant state in the nerve roots or the dorsal root ganglia, which contains the cell bodies of sensory neurons. Years later, this virus may wake up to cause an outbreak of shingles or herpes zoster. Although the reason for its waking up is not certain, experts believe a variety of conditions can lead to its activation such as normal ageing weakening of the immune system stress and anxiety Healthy people and young children too are not exempt from the risk. In fact, anyone who has had chickenpox is at a high risk of developing herpes zoster or shingles. Appearance of the Blistering Rash The distinctive feature of this illness is the rash that appears on one side of the body. The rash is accompanied by a pricking and sometimes stabbing pain. It erupts into clusters of small red patches that develop into blisters. Within 7 - 10 days the blisters break open and a fluid comes out. During this period, if anyone who never had chickenpox before, accidentally touches the oozing blisters of the patient, he/she will develop chickenpox. Once the fluid comes out, the rash slowly begins to dry and crust. The rash disappears completely after two to four weeks. When the blisters scab and dry, the virus cannot spread anymore. Because herpes zoster affects the nerve cells in the body, it is very common for the rash to appear in the formation of a band on one side of the body along the path of a nerve. In some people, the rash may spread to the eyes, and occur inside the eyelids. This can be extremely painful, with the person experiencing stabbing pains in the eye, constant eye watering, sensitivity to light, and blurry vision. The symptoms in the eyes usually vanish within three to five weeks. A person with shingles cannot transmit shingles to another person. Though, he can transmit chickenpox to a person, who has never had chickenpox before. Post-Herpetic Neuralgia (PHN) Around 20% of the people who suffer from shingles may develop a condition known as post-herpetic neuralgia. This occurs when the proper functioning of a nerve is disrupted due to the damage caused to it by shingles. It is commonly believed that shingles causes scar tissue to develop around the nerve, which when inadvertently pressed, causes pain signals to go to the brain. The person suffering from PHN will experience a sudden throbbing, burning, shooting, or even a stabbing pain along the damaged nerve for months, or even years, after the rash has healed. In some cases, the pain may be continuous for a few months after the rash has healed, however, if the condition runs into years, the person will experience paroxysms of pain along the nerve. Who is prone to shingles/herpes zoster? a weak immune system are experiencing any stress or trauma are suffering from any illnesses such as diabetes, HIV, cancer are taking any medications that affect the immune system such as steroids are taking treatments for certain ailments such as cancer are recuperating from any illness, be it even a cold, or flu have erratic sleeping patterns are suffering from malnutrition a dull constant pain which can be mild or severe, or an intermittently shooting pain in the affected area soreness, burning sensation, itching, or numbness in the affected area exhaustion fatigue sensitivity to light fever headache the appearance of a painful, itchy and red rash on one side of the body and sometimes in and around the eyes a sensation of pins and needles piercing through in the areas of the rash throbbing pain in the eye with burning sensation and irritation soreness and redness in and around the eye extreme sensitivity to light constant eye watering blurred vision What are the complications of shingles/herpes zoster? Shingles is a self-limiting condition which disappears within three weeks. However, in people with very low immunity, it may take a serious turn. Delaying, or not undertaking medical treatment can cause serious complications which include: Postherpetic Neuralgia - which is nerve pain caused by the damage to nerves by the varicella-zoster virus. The stabbing pain can remain for months and even for years in patients. Eye Complications - which can occur if the rash spreads to the eyes. Swelling of the cornea may occur which can leave permanent scars. Shingles in the eye can also cause the retina to swell, or increase pressure in the eye which can lead to glaucoma and eventually loss of vision. Skin Infections - may occur if the area affected by the rash is not kept clean, which can lead to scarring. Neurological Complications - can ensue if the shingles affects the nerves in the brain. The neurological complications include Guillain-Barre Syndrome, Ramsay Hunt Syndrome, Bell’s palsy, encephalitis, meningitis, and even stroke anytime in the year following the illness. Disseminated Herpes Zoster- is when the virus spreads to other organs. People with compromised immune systems ( those suffering from cancer, HIV/AIDS), are at a risk of Disseminated Herpes Zoster. This can be life-threatening especially if it affects the lungs. What is the treatment for shingles/herpes zoster? Though there is no known cure or for that matter treatment for shingles, your general physician may prescribe antiviral medicines, which will reduce the pain and duration of shingles. He may also prescribe some topical antibiotics to apply on the rashes which will reduce the stinging and prevent infection. Homoeopathic medicines for Herpes Primary Remedies Arsenicum album. If a person feels chilly, anxious, restless, and exhausted during fever-and the burning pain of the eruptions is relieved by heat-this remedy may be indicated. ... Apis mellifica. ... Iris versicolor. ... Mezereum. ... Ranunculus bulbosus. ... Rhus toxicodendron. ... Clematix.Dr. Rajesh Gupta17 Likes26 Answers
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male pt. these leison since 5days itching burning pain pl. dxDr. Umesh Shrivastava5 Likes40 Answers
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IT'S A..CASE OF.. PAINFUL BLISTERS ON FINGER.. PLEASE EXPLAIN TNX..Dr. Kute Ankush1 Like11 Answers
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Herpes Simplex 1Herpes simplex is a viral infection caused by the herpes simplex virus (HSV). HSV-1 is associated primarily with oral infections, and HSV-2 causes mainly genital infections.CLINICAL_ Primary Infection- 1)Symptoms occur from 3 to 7 days after contact (respiratory droplets, direct contact). 2)Constitutional symptoms include low-grade fever, headache and myalgias, regional lymphadenopathy, and localized pain. Pain, burning, itching, and tingling last several hours. 3)Grouped vesicles, usually with surrounding erythema, appear and generally ulcerate or crust within 48 hr. 4)The vesicles are uniform in size (differentiating it from herpes zoster vesicles, which vary in size). Scattered erosions covered with exudate may be noted on genitals. 5)During the acute eruption the patient is uncomfortable; involvement of lips and inside of mouth may make it unpleasant for the patient to eat; urinary retention may complicate involvement of the genital area. 6)Lesions generally last from 2 to 6 wk and heal without scarring. Recurrent Infection- Generally caused by alteration in the immune system; fatigue, stress, menses, local skin trauma, and exposure to sunlight are contributing factors. A cluster of lesions generally evolves within 24 hr from a macule to a papule and then vesicles surrounded by erythema; the vesicles coalesce and subsequently rupture within 4 days, revealing erosions covered by crusts. The crusts are generally shed within 7 to 10 days, revealing a pink surface. Rapid onset of diffuse cutaneous herpes simplex (eczema herpeticum) may occur in certain atopic infants and adults.DIFFERENTIAL DIAGNOSIS-_ Impetigo _ Behçet’s syndrome _ Coxsackie virus infection _ Syphilis _ Stevens-Johnson syndrome _ Herpangina. _ Aphthous stomatitis. _ Varicella. _ Herpes zoster LABORATORY TESTS- 1)Direct immunofluorescent antibody slide tests provide a rapid diagnosis. 2)Viral culture is the most definitive method for diagnosis; results are generally available in 1 or 2 days. The lesions should be sampled during the vesicular or early ulcerative stage; cervical samples should be taken from the endocervix with a swab. 3)Tzanck smear is a readily available test that will demonstrate multinucleated giant cells. However, it is not a highly sensitive test. 4)Pap smear will detect HSV-infected cells in cervical tissue from women without symptoms. 5)Serologic tests for HSV: immunoglobulin (Ig) G and IgM serum antibodies. Antibodies to HSV occur in 50% to 90% of adults. The presence of IgM or a fourfold or greater rise in IgG titers indicates a recent infection (convalescent sample should be drawn 2 to 3 wk after the acute specimen is drawn).Dr. Rina Upadhyay6 Likes9 Answers
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188.8.131.52.Disseminated acute Lichen Planus in 9 YRS boy of 10 days duration severe itching .5.Ectothrx Fungal folliculitis ,.. Clinically presenting as Scalp ***FAVUS*** with nonciatrisig Alopecia in 13 yrs girl .. Anthropophilic Dermatophyte.7.Onychomycosis of Big toe nail ... clinically presenting as vertical split and easily friable nail plate in 70 yrs Male or having Type2 Diabetes Mellitus.6. Infectiive Eczema of dorsum of nonatopic woman of 46 yrs of 15 days duration.Dr. V.g. Kothandapani1 Like3 Answers