An immunosuppressed patient with V1 zoster has lesions on the tip of the nose, photophobia and a painful red eye but preserved visual acuity. Which

Question

An immunosuppressed patient with V1 zoster has lesions on the tip of the nose, photophobia and a painful red eye but preserved visual acuity. Which interpretation and action are most appropriate?

Accepted Answer

Nasociliary involvement; start systemic antiviral therapy and arrange urgent ophthalmology assessment

Answer

Disseminated involvement; start varicella immunoglobulin therapy and arrange urgent dermatology assessment

Answer

Meningeal involvement; start intravenous antibiotic therapy and arrange urgent lumbar puncture

Answer

Facial-nerve involvement; start systemic antiviral therapy and arrange urgent otolaryngology assessment

Answer

Optic-neuritis involvement; start systemic corticosteroid therapy and arrange urgent neurology assessment

Hutchinson Sign — SCE Infectious Diseases MCQ

An immunosuppressed patient with V1 zoster has lesions on the tip of the nose, photophobia and a painful red eye but preserved visual acuity. Which interpretation and action are most appropriate?