Concluded Case

Herpes infection

A 35 year old male patient come with this lesion around his eye from 3 days.. no itching , no fever but 3 days ago a small furuncle appear on upper eyelid, after brust these rash upper.. he is unable to open his eye, on eye movement patient feel pain.. diagnosis and treatment ?

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Lt half of face from from head to angle of mouth Herpes zoster with dermititis Rx tab acyclovir 800mg 5times a day for 7days and tapper off gradually and keep on maintenance dose Acyclovir oint 5times a day also instil the gel form in eye also take opthamologist opinion for dendertic keratitis Tab azithromycin 500mg 1od Tab Levocetrizine5mg 1bd Tab gabapentin 100mg+tab nortryptiline 10mg 1od at bedtime NSAIDs as required

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Herpes zoster ophthalmicus Area of distribution, Vesicles, crust formation, Erythema, and edema of eyelid are typical of herpes zoster ophthalmicus Adv Tab. Acyclovir 800 mg five times a day for 7 days

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Herpes zoster ophthalmicus A herpes zoster ophthalmicus rash involving the tip of the nose ) is known as a positive Hutchinson's sign. This indicates nasociliary nerve involvement; the nasociliary also innervates the eye. Oral Antiviral drugs like Famcyclovir. Refer to ophthalmologist.

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Lt half of face from from head to angle of mouth Herpes zoster with dermititis Rx tab acyclovir 800mg 5times a day for 7days and tapper off gradually and keep on maintenance dose Acyclovir oint 5times a day also instil the gel form in eye also take opthamologist opinion for dendertic keratitis Tab azithromycin 500mg 1od Tab Levocetrizine5mg 1bd Tab gabapentin 100mg+tab nortryptiline 10mg 1od at bedtime NSAIDs as required

Thank you doctor
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H Z OPHTHAMICAS.LE UNILATERAL CONDITION NERVER CROSSES THE MIDLINE IF TIO OF NOSE IS INVOLVED CORNEA INVOLVEMENT IS CERTAINE DUE TO NASOCILIARY NERVE INBOLVEMENT TT FOR VESICLES USE ANY ANTIBIOTIC OINTMENT TAB INDOCAP SR 75 MG ONE TABLET OD FOR FIVE DAYS VIT C 500 MG ONE TABLET OD FOR 10 TO 15 DAYS TAB PENVIR FAMCYCLOVIR 750 MG OD FOR 7 DAYS INJ MONOCEF 1 GRAM IV BD FOR 7 DAYS AFTER TEST DOSE INJ NEUROBION IM TWICE A WEEK FOR 2 TO 3 WEEKS CYCLOGY EYE DROPS ONE DROP 3 TIMES A DAY MOXAFLOXINE EYE DROPS ONE DROP 3 TIMES A DAY NONSTETIODAL ANTIINFLAMMATIRY EYE DROPS ONE DROP 3 TIMES ARTIFICIAL EYE DROPS ONE DROP 3 TIMES A DAY I ACYLOVIR EYE OINT 5 TIMES A DAY CLOSELY MONITOR NTHE PATIENT

? Herpes Zoster Ophthalmicus

Herpes zoster opthalmicus... Rx Tab.acyclovir 800 TDS tab.levocetrizin5 BD Tab.pregacip100+ nortryptiline10 HS Tab.fdson mp forte OD

Impetigo Contagiosum

SUGGESTIVE OF STEROIDAL ALTERED HERPES ZOSTER OPHTHALMICUS

Herpes zoster Tab acyclovir 800mg TDS Cream acyclovir apply 3 time Tab diclofenac 50mg 8 hr Tab amitriptyline 25 mg oral

Thnk you @Dr. Anusuya Mukherjee
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Herpes Zoster opthalmicus Famciclovir as per dosage and acyclovir topical

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