Chickenpox/shingles

Question 1

Type of virus is VZV

Answer 1

herpes

Question 2

Chickenpox rash development

Answer 2

Macular -> papular -> vesicular -> crusted
V pruritic - itch

Question 3

When is chicken pox more severe

Answer 3

Neonates, immunocomp, adults

Question 4

Shingles rash

Answer 4

Painful maculopapular then vesicular
Doent cross midline - dermatome distribution

Question 5

When is shingles treated with aciclovir

Answer 5

Beware ocular, disseminated, CNS disease

Question 6

Infectivity chiceknpox

Answer 6

infectivity = 4 days before rash, until 5 days after the rash first appeared

Question 7

Incubation chiockenpoz

Answer 7

incubation period = 10-21 days

Question 8

Complications chickenpoz

Answer 8

pneumonia
encephalitis (cerebellar involvement may be seen)
disseminated haemorrhagic chickenpox
arthritis, nephritis and pancreatitis may very rarely be seen

Question 9

Management cheicknepix

Answer 9

Off school while infectious
VZIG IV pregnant or neonates
IV aciclovir if immmunocompromised and chixken pox develops