Posts Tagged ‘herpes’

Postherpetic Neuralgia

Posted by • October 17th, 2014

Postherpetic neuralgia is more common with older age. Recommended treatments include topical agents (lidocaine or capsaicin) and systemic agents (in particular, gabapentin, pregabalin, or tricyclic antidepressants), but their efficacy tends to be suboptimal.  The latest Clinical Practice article is on this topic, and comes from University of Bristol’s Dr. Robert Johnson and Imperial College London’s… Read More…

Shedding Convention: New Treatment for Genital Herpes

Posted by • January 15th, 2014

Let’s talk about herpes.  To start, if you get genital herpes, you will have it for a lifetime; currently there is no cure.  Anti-viral therapy — valacyclovir or famciclovir, both nucleoside DNA polymerase inhibitors — can reduce the frequency and severity of clinical recurrences and have been the standard of care for years.  These drugs… Read More…

Fever and Altered Mental Status

Posted by • May 17th, 2013

In the latest Case Record of the Massachusetts General Hospital, 76-year-old man with chronic renal disease was admitted to this hospital because of fever, worsening renal function, and confusion. Brain imaging revealed a small amount of material with restricted diffusion layering in the occipital horns of the lateral ventricles. Typical bacterial organisms that commonly cause acute… Read More…

Fever and Rash

Posted by • May 10th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 43-year-old woman with a history of atopic dermatitis was admitted to the hospital because of fever and a generalized painful, pruritic rash involving the entire body. Examination revealed vesicles, pustules, and erosions with scalloped borders. A diagnostic test result was received. The development of cutaneous pain in… Read More…