Viral Infections

Question 1

Who to treat with herpes zoster viral infection

Answer 1

over 50 years old, severe case, immunocompromised

Question 2

Goals of herpes zoster antiviral treatment

Answer 2

accelerated resolution, limit extent of infection, reduce complications

Question 3

treatment of acute infection of herpes zoster

Answer 3

1. 7 day course of Acyclovir, valacyclovir, or Famiciclvir
2. more effective within 72 hours of onset of lesions
3. corticosteroids reduce acute symptoms and accelerate the rate of cutaneous healing. avoid in immunocompromised

Question 4

Herpes zoster systemic postherpetic neuralgia

Answer 4

gabapentin, pregabalin, TCA’s

Question 5

Herpes zoster topical postherpetic neuraliga

Answer 5

lidocain, capsaicin

Question 6

CMV prevention

Answer 6

No vaccine, can use valganciclovir, ganciclovir, or brincidofovir (cidofovir prodrug, under investigation)

Question 7

CMV treatment

Answer 7

same as prevention, or foscarnet or cidofovir