Herpes Zoster (Shingles)

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It  is  due  to  resurgence  or  reactivation  of  the  Varicella  zoster  virus  infection  which  also  causes  chickenpox.  

Clinical presentation 

  • Severe burning pain  
  • Grouped  vesicles  overlying  erythematous  skin  following  a  dermatomal  distribution; typically, lesions do not cross the midline

Pharmacological Treatment

B: acyclovir (PO) 800mg 6hourly for 7–10days 

Wound care 

A: potassium permanganate soaks (1:4000) 12hourly for 3–4days 

For Secondary infection (bacterial) apply 

A: silver sulfadiazine cream (topical) applied 12hourly for 5days 

OR 

C: mupirocin 2% cream 12hourly for 5days