Female, 80 years old. Four days ago she felt a severe pain in the inguinal region and hip on the left side. After a time she noticed the appearance of the lesions illustrated above. The doctor who evaluated the patient started treatment with acyclovir 200 mg every 8 hours. What is the diagnosis? Is the treatment correct?
A case of Herpes Zoster naturally. Treatment is not right. Tablet Acyclovir 800 mg 4 th hrly- 5 doses. Miss the midnight dose. Symptomatic treatment for pain. Amitryptiline 25 mgs Hs to reduce burning sensation . Fusidic acid cream externally. External application of Acyclovir doesn’t have great benefits. Since the age is 80 yrs look for immuno compromised states. Advise to drink plenty of water.
Herpes zoster Rx Vamcyclovir 1 gm TDs Tab Methylprednisolone 16 mg 1OD Cap Methycoblamin+ Pregablin 75 mg 1od Cap PPI 1BBF Acycovir Cream TDs apply All med 7 days than according as per disease Hygiene maintenance
HERPES ZOSTER
Herpes zoster Acyclovir 200mg 5times a day. Clean with betadine lotion apply calamine lotion+ xylocaine 2%gel locally. Acyclovir oint locally. Probiotic and multivitamins orally. Analgesics if pain. Improve general and personal hygiene. Nutritious balanced diet.
A case of Herpes Zoster no doubt. The lady being old investigate for immuno compromised states. The treatment is under dosed. The treatment recommended shall be tablet Acyclovir 800 mg 4 th hrly 5 doses (avoid the midnight dose). For a period of 7 to 10 days.symptomatically for pain, Amitryptiline 25 mg to avoid the burning sensation. Externally fusidic acid. It’s observed in majority of cases external application of Acyclovir doesn’t help in a big way. Review after a week
Hepes zoster . Treatment is correct. May need further investigations to rule out Possible DM / Malignancy which is common with HZ , particularly in this age group.
Herpes zoster
Herpes zoster
Haemorrhagic Herpes Varicella Zoster. Investigations do immunodeficiency. Valaciclovir+ Pregabalin
Cases that would interest you
- Login to View the image
1.2.3.4. ACUTE PAINFUL VESCI CULO BULLOUS ERUPTIONS ON C8 TO T4 DERMATOMES IN MALE AGED 50 YRS WHO HAS RECENTLY DIAGNOSED AS BRONCHOGENIC CARCINOMA..SKIN LESIONS DISTRACTED UNILATERALLY...SECONDARY **HERPES VARICELLA ZOSTER.**
Dr. V.g. Kothandapani2 Likes17 Answers - Login to View the image
pt 8yrs Mch c/o these itching lesions on rt upper thigh since 5 -7 days with ipsilateral inguinal lymph node swelling
Dr. Suresh Prajapat2 Likes34 Answers - Login to View the image
4yr boy, lesion shown below duration 3 days, increasing no fever, no itching, pain spot the dx.
Dr. Manish Verma4 Likes28 Answers - Login to View the image
15 years girl multiple grouped vesicles on both sides of the neck since 3 days. no fever submandibular glands are enlarged. what is the diagnosis and treatment?
Dr. P.kishore Kumar4 Likes27 Answers - Login to View the image
35 year old female with Lesion over the left thigh only about 5days..now some lesion seen on forehead.itching present..fever..body ache..no insect bites..Adv treatment
Dr. Abil Ansari4 Likes43 Answers
4 Likes