can Acyclovir be used in upper extrime pain muscles with a combination of algesics?

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some client was given Acyclovir when she complained on her right arm being painful and loose of function. what could be the connection with that (herpes)? can one use an antibiotic when they have a brachial plexopathy?

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Antibiotics would not be necessary, if it is neuropathy caused by herpes, Aciclovir might help.

answered Jun 15, 2015 by admin Doctor of Medicine (10,059 points)

Herpes can cause neuritis. If the clinician thinks there is possibility of HSV indicated in the plexopathy, it could be used. Antibiotics would be of much help.

"Herpes zoster or shingles is the reactivation of dormant varicella zoster virus (VZV) in the dorsal root ganglia. Segmental motor paresis is rare and only few cases of brachial plexitis have been reported in the literature. This case reports herpes zoster resulting in unilateral brachial plexitis with predominant radial nerve palsy. The patient was treated successfully with aciclovir, gabapentin and physiotherapy with good recovery. Radial neuritis secondary to active herpes zoster has been rarely reported in the past." Here is similar case report to answer your question.
Herpes zoster brachial plexopathy with predominant radial nerve palsy.
Jeevarethinam A1, Ihuoma A, Ahmad N

Still I think, only your clinician can decide on it.

Dr Sharma, MD

answered Jun 17, 2015 by Dr Sharma