CNS Antibiotics

Question 1

Bell’s palsy

Answer 1

herpes simplex virus, herpes zoster, B burgdorferi

65% recover without medication at 6mo.

Severe sypmtoms of suspect HSV = antiviral steroid cream. Acyclovir, valacyclovir

Question 2

Encephalitis organisms and medications for each

Answer 2

1. HSV, VZV,
   
   1. acyclovir
2. Cytomegalovirus
   
   1. ganciclovir
3. Ehrlichia/rickettsia
   
   1. doxycycline

suspected encephalitis = doxycycline until definitive results return.