An older adult with painful rash and fever - medtigo



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  1. Herpes almost always affects only one side of the body; it does not usually run the midline. It tends to follow the trajectory of a nerve trunk. In addition, in this patient, the typical lesions characteristic of HZ are seen: erythematous macules, papules, vesicles, and painful crusty lesions preceded by a fever.

  2. I recommend to order medical tests like Fbc, Fasting blood sugar, random blood sugar, HB1AC, to rule out Diabetes and HIV test, HBSAb and HBSAg and Hep C IgM to rule out viral hepatitis we also need to assess for malnutrition ask for Total protein and albuminemia.
    In short we need to assess if there is an underlying immunosupressive diseases.

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