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A 40-year-old female with a history of AIDS develops a herpes simplex
keratitis of the eye. Which of the following antiviral agents should be administered in this case
a. Zanamivir
b. Trifluridine
c. Zidovudine
d. Amantadine
e. Indinavir
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trifluridinne is a topical antiviral ophthalmic preparation used specifically for viral keratoconjunctivitis especially herpes simplex keratitis.
It is not indicated for herpes zoster induced kearatitis!
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answer is B.
Trifluridine inhibits viral activity in HSV types 1 and 2, CMV, vaccinia, and perhaps adenovirus. It acts as a viral DNA synthesis inhibitor by irreversibly blocking thymidylate synthetase.
Trifluridine triphosphate is a competitive inhibitor of thymidine
triphosphate accumulation into DNA.
It is used in the treatment of primary keratoconjunctivitis and recurrent epithelial keratitis caused by HSV 1 and 2.