Viral Diseases Flashcards
How do you treat rhinovirus?
Supportive Care
- Saline Wash
- NSAIDs
- Rest
- Fluids
- Decongestants
When and why might you consider giving antibiotics for someone with rhinovirus?
Symptoms lasting longer than 10 days
Purulent discharge
Treatment of Influenza.
Supportive Care
- Antivirals can reduce symptoms but not mortality
FDA approved treatment for Types A & B Influenza
Oral Oseltamivir
(Neuraminidase inhibitor)
Who should get a high dose version of the influenza vaccine?
Patients over 65
How do you treat a first episode of oral or genital HSV infection?
Acyclovir
Valacyclovir
Famciclovir
What is the treatment for Chicken Pox?
Healthy child under 12
- Supportive
Everyone over 12
- Acyclovir
How do you treat Shingles?
Valacyclovir or Famciclovir
Corticosteroids
How do you treat post herpatic neuralgia?
Gabapentin
Lidocaine patches
Tricyclic Antidepressants
Capsaicin cream
How do you treat plantar warts?
Liquid Nitrogen
Topical Salicylic Acid
Blunt Dissection (if refractory)
What is the treatment of choice for genital warts in men?
Podophyllum Resin
What is the treatment of choice for genital warts in women?
Imiquimod Cream
What happens if you treat a patient who has Epstein-Barr Virus with amoxicillin or ampicillin?
Erythematous Rash (80% of the time)
How do you test for Epstein-Barr Virus?
Heterophile Antibody (Monospot)
IgM Antibody to EBV Virus Capsid Antigen
How do you treat Epstein-Barr Virus?
Supportive Care
(usually resolves in 2-4 weeks)
How do you treat mumps?
Supportive Therapy
(isolate until swelling subsides)
How do you treat erythema infectiosum?
Supportive Care
How do you treat roseola?
Supportive care
How do you treat measles (Rubeola)?
Supportive
Vitamin A in severe cases
What is the treatment for Rubella?
Supportive Care
How do you treat Cytomegalovirus in immunocompromised patients?
Oral Valganciclovir
IV Ganciclovir
How do you treat congenital cytomegalovirus?
Ganciclovir or Valganciclovir (6 months)
How do you treat West Nile Virus?
Supportive Treatment
- no vaccine or antiviral
How do you treat Zika Virus?
Supportive Treatment
- Do not use NSAIDs in pregnant women >32 weeks