Herpes treatment - sparks Flashcards
Which HSV is the most common in viral meningococcal?
HSV2
Describe the characteristic of Bell’s Palsy?
Age: 20-50
Onset: hours-days
Upper face: Always
Lower face: Always
Associated symptoms: Atypical facial numbness in rare
Describe the characteristics of Stroke
Age: >60
onset: seconds to minutes
upper face: +/-
lower face: always
Associated symptoms: Weakness, numbness, slurred speech, double vision, facial numbness, difficulty swallowing, vertigo, ataxia
Agent of therapies for severe CNS HSV? Duration?
Acyclovir: 10mg/kg IV q8H
Duration: 14 days
What agent to use in cases of Acyclovir resistant?
IV foscarnet (40mg/kg IV q8h)
What is detected by VZV serologic testing?
Detect exposure or recent immunization
What are the topical treatments for postherpetic neuralgia?
- Capsaicin cream
- Lidocaine patch
What are the oral agents for Postherpectic neuralgia?
- Neurontin (gabapentin)
- Lyrica (gabapentin)
- TCAs
- Amitriptyline
- Nortriptyline
- Desipramine
What antivirals are used to treat VZV? Duration?
Valacyclovir 1 g PO TID
Famicyclovir 1g 500 mg PO TID
Acyclovir 800 mg PO five times daily or 10mg/kg IV Q8H