HERPES ZOSTER
Essentials of Diagnosis
•
Pain and hyperaesthesia along the nerves.
•
Fever 102-103° F.
•
Small vesicles occur in crops, content becomes purulent.
•
Regional glands are painful and tender.
•
Each crop dries in a week.
•
Rash is usually unilateral.
Management
o
Calamine lotion for local use.
o
Aspirin or Novalgin 1 thrice daily × 5 days.
o
Antibiotics in case of infection: Ampicillin cap
1 qid × 5 days.
o
Corticosteroids for anti-inflammatory effect to
cut down course of disease, severity and to prevent neuralgia.
o
Large doses of B1, B6, B12, Neurobion inj daily
× 5 to 7 days.
o
Tab Diazepam (Valium) 1 at bed time.
o
Acyclovir orally and Idoxyuridine oint locally.
o
Tab Zonirax or Herpes 800 mg 5 times a day for 7
days. It is effective only if started within 2 days.
Injection Kenacort 40
mg/ml 1 ml weekly.
