Herpes encephalitis >> Do MRI >> Give IV acyclovir
Temporal lobe>> HSV
Occipital lobe>> HZV
Herpetic genital ulcers ( multiple-painful)>>> PCR (ulcer or urethral discharge )>>>>Oral Acylcovir
Herpetic Keratitis >>>>IV and local Acyclovir ( Never ever steroid here )
Ramsy Unt syndrome ( facial palsy+ Herpetic lesion at auditory canal )>>> Oral Valcyclovir+ steroids
Chickenpox >>> IV immunoglobulins within 7 days of exposure ( if non immune ) >>>Once rash , no role for Igs AND give oral acyclovir .
Varicella pneumonia (with chickenpox rash)>>> IV acyclovir