Zoster generalisatus
Last Updated: 2019-08-26
ICD11: -
Last Updated: 2019-08-26
Author(s): Anzengruber F., Navarini A.
ICD11: -
Herpes zoster infection with > 25 aberating vesicles which are not arranged segmentally. This mainly occurs in immunosuppression.
Herpes zoster without limitation to the dermatomes, often haemorrhagic-necrotic.
Swab with cotton swab firmly from the bladder base (do not use the swab for PCR).
Spread out on microscope slide and apply fixing liquid.
Swab with cotton swab firmly from the bottom of the bladder.
Put cotton swabs into the virus medium, leave for 15 seconds, then remove swabs.
Myocarditis, pancreatitis, esophagitis, hepatitis.
Protracted course, sometimes it takes weeks to heal in immunosuppression.
Inpatient admission
Analgesia appropriate to the stadium
Systemic Therapy
Aciclovir (Zovirax®) application: 3x 15mg/kg bw/d intravenously; Contraindication: hypersensitivity, lactation. Side effects (very common): Headache. CAVE: In older patients there is an increased risk of reversible neurological disorders. Adjustment of dosage for reduced kidney function. Sufficient liquid supply.
Topical Therapy
Tannosynt®-Lsg. several times a day