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Re: 32 week PROM Recent Herpes outbreak HelpFrom: Andrew (AGFOLLEY@HOTMAIL.COM)Mon Jan 17 15:54:57 2005
At Mon, 17 Jan 2005, art fougner, md wrote: >No prodromal symptoms. I agree and that was my plan of action as well. MFMs recommended primary section due to "risk of herpes shedding" and potential for herpes encephalitis. >Any prodrome? > >art > >At Mon, 17 Jan 2005, Efrain Ramirez wrote: >> >>Agree with Richard - antibiotics, Valtex, steroids/tocolytics - for 48 >>hours -- wait- reevaluate.. >> >>> At Mon, 17 Jan 2005, Richard Chudacoff, MD wrote: >>> >>>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? >>> >>-- >>"The opposite of a correct statement is a false statement. >>But the opposite of a profound truth may well be another profound truth." >> >>Niels Bohr (1885 - 1962) >> >-- >art fougner, md > > "If you don't know where you are going, you will wind up somewhere else." >Lawrence Peter Berra >
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