Concluded Case

herpes zoster

Male aged 75 diabetic and on and off on medication,came with fever and spread rashes followed by watery discharge from rash spreading from chest to back on right side. Took medicine from somewhere fever subsidies temporarily. On investigation cbc normal, widal 1.80 in H.Rbs 150. Rashes have reduced now but still oozing and its painful,no itching. Attaching pic pl post cleaning the part, help with management of case.

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Concluded answer

Post herpetic dermititis Acyclovir gel frequently Fucidin oint twice daily at open lesions Orally tab acyclovir 800mg 5times a day for 7days Tab Azithromycin 500mg od for 5days Tab Levocetrizine bd Tab Gabapentin nortryptiline25mg1od at bedtime Review after one week

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Post herpetic neuralgia

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Post herpetic dermititis Acyclovir gel frequently Fucidin oint twice daily at open lesions Orally tab acyclovir 800mg 5times a day for 7days Tab Azithromycin 500mg od for 5days Tab Levocetrizine bd Tab Gabapentin nortryptiline25mg1od at bedtime Review after one week

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Infected hz Dermatitis

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Looks like Herpes Zoster??

Herpes zoster Acyclovir oint locally Acyclovir 800 mg 5 times daily Tab Gabapentine 300 mg bd

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Antiviral therapy like valacyclovir. Tight glycemic control Pregabalin for neuropathy.

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An oozy leison that appears with fever and rashlimited to one side,not crossing to other side ,dermatomal in distribution ,is Herpes Zoster of some duration . The rash almost resolved and with post inflamatory hypopigmentation indicating that the duration could be around 2 weeks. Giving acyclovir serves no purpose . The tardy height could be due to DM 2 . If pain permits after some time consider post herpetic neuralgia. Prevent secondery infection .

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? HZV ..

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Herpes Zoster Adv T. Acyclovir 800 mg one tablet five times a day for 10 days Strict control of diabetes with insulin

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Eczematous dermatitis?

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