Viral Infections

Question 1

Neonatal HSV

Answer 1

Acyclovir (not cure but decrease severity and recurrence)

Question 2

VZV

Answer 2

Acyclovir (oral) ⬇️ severity if given early, within 48hrs

Question 3

Herpes zoster virus

Answer 3

The goals of management of HZ include: minimize pain;
•reduce viral shedding;
•speed crusting of lesions and healing;
•ease physical, psychological, and emotional discomfort;
•prevent viral dissemination or other complications;
•prevent or minimize PHN

●Herpes Zoster Rx
•Antiviral treatment begun <72 hours accelerates healing of skin lesions, decreases the duration of acute pain, and may decrease the frequency of PHN.
Acyclovir (800mg po qid 7 to 10 days)
Valacyclovir(1000mg po tid for 7 days)
Famiciclovir (500mg po tid for 7 days)

Question 4

Post herpetic neuralgia [PHN]

Answer 4

Amitriptyline with carbamazepine, doxepin or capsaicin cream

Question 5

Cutaneous wart

Answer 5

1.Patient-Initiated Therapy
•For small lesions: salicylic acid and lactic acid in collodion
•For large lesions: 40 % salicylic acid plaster for 1 week, then application of salicylic acid- lactic acid in collodion
2.Physician Initiated Therapy
• Cryosurgery
• Electro surgery
• CO2 Laser Surgery
• Surgery
• Hyperthermia for Verruca Plantaris note: Cutaneous HPV infections usually resolve spontaneously in immunocompetant.

Question 6

Molluscum contagiosum

Answer 6

Curettage
Cryosurgery
Electrodessication