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Re: 32 week PROM Recent Herpes outbreak Help From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com) Mon Jan 17 07:41:50 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "breech-breech at 33+4" Previous message: Richard Chudacoff, MD: "Re: Twins incompetent cervix Help" In reply to: Andrew: "32 week PROM Recent Herpes outbreak Help" Next in thread: Efrain Ramirez: "Re: 32 week PROM Recent Herpes outbreak Help" Reply: Efrain Ramirez: "Re: 32 week PROM Recent Herpes outbreak Help" Interesting cases you have. No current outbreak, I'd place her on prophylactic Valtrex, treat with antibiotics for a week and steroids for 48 ours. I'd like to get 48 hours of out her, but if cultures come back negative, then I'd wait until she tips her hand -- Richard Chudacoff, MD -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew Sent: Monday, January 17, 2005 8:19 AM To: Multiple recipients of list OB-GYN-L Subject: 32 week PROM Recent Herpes outbreak Help Please give me your thoughs on the following: 32 week 5 day G1P0 comes in with PROM. Recurrent herpes outbreak on vulva treated two weeks agow with PO valtrex. No prodromal symptoms or active lesions now. Cx 1 cm 25%. Do you go to primary section for recent herpes outbreak?? Do you give steroids and wait 48 hours and induce? Give IV Valtrex and no steroids and wait? Any role for HSV titers or culture? Next message: Richard Chudacoff, MD: "breech-breech at 33+4" Previous message: Richard Chudacoff, MD: "Re: Twins incompetent cervix Help" In reply to: Andrew: "32 week PROM Recent Herpes outbreak Help" Next in thread: Efrain Ramirez: "Re: 32 week PROM Recent Herpes outbreak Help" Reply: Efrain Ramirez: "Re: 32 week PROM Recent Herpes outbreak Help"

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