Herpes Simplex Virus-1: Difference between revisions
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==Herpes labialis (cold sore)== | ==[[Herpes labialis]] (cold sore)== | ||
[[File:Herpes(PHIL 1573 lores).jpg|thumbnail|Herpes labialis]] | [[File:Herpes(PHIL 1573 lores).jpg|thumbnail|Herpes labialis]] | ||
*typically umbilicated vesicles, painful, that unroof and crust over | *typically umbilicated vesicles, painful, that unroof and crust over | ||
*typically localized to the vermillion border | *typically localized to the vermillion border | ||
==Herpes gingivostomatitis== | ==[[Herpes gingivostomatitis]]== | ||
[[File:Herpesgingiva.jpg|thumbnail|Herpes gingivostomatitis of mouth]] | [[File:Herpesgingiva.jpg|thumbnail|Herpes gingivostomatitis of mouth]] | ||
| Line 14: | Line 14: | ||
*PO intake is most important | *PO intake is most important | ||
==Herpes keratitis== | ==[[Herpes keratitis]]== | ||
[[File:Herpes simplex geographic corneal ulcer.jpeg|thumbnail|Herpes keratitis]] | [[File:Herpes simplex geographic corneal ulcer.jpeg|thumbnail|Herpes keratitis]] | ||
==[[Herpetic Whitlow]]== | ==[[Herpetic Whitlow]]== | ||
==Eczema herpeticum== | ==[[Eczema herpeticum]]== | ||
*Development of vesicular eruptions in areas of epidermis previously affected by atopic dermatitis | *Development of vesicular eruptions in areas of epidermis previously affected by atopic dermatitis | ||
*fever is common | *fever is common | ||
Revision as of 13:01, 20 July 2015
Herpes labialis (cold sore)
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- typically umbilicated vesicles, painful, that unroof and crust over
- typically localized to the vermillion border
Herpes gingivostomatitis
Painful vesicular lesions of mucocutaneous areas
- Primary HSV-1 infection of lips, gingiva, and tongue
- Associated with fevers, irritability, and cervical adenopathy
- Lasts approx 2-4 weeks without treatment, course shortened with treatment
- Acyclovir 40-80mg/kg PO divided in 3-4 doses for 5-7 days
- PO intake is most important
Herpes keratitis
Herpetic Whitlow
Eczema herpeticum
- Development of vesicular eruptions in areas of epidermis previously affected by atopic dermatitis
- fever is common
- May be life-threatening
- Treatment to cover Staph and Strep
- Bactrim 10mg/kg/d in 2 divided doses OR clindamycin 24mg/kg/d divided into 3 doses x10d
- Acyclovir 80mg/kg/d in 3 divided doses x10
See Also
Source
Tintinalli