| ID | 179 |
|---|---|
| Name | CHICKEN POX (Varicella) |
| Cause | |
| Signs Symptoms | |
| Diagnosis | DIAGNOSIS: 1. History/CF 2. CBC. 3. Viral PCR 4. Viral C/S |
| Investigations | |
| Management | |
| Introduction | Chickenpox (vericella) is caused by the varicellazoster virus which spreads by droplets or by contamination from the discharge from ruptured lesions of the skin. Chicken pox is highly infectious and chiefly affects children under 10 years of age. The incubation period is 14-21 days. |
| History | |
| Etiology | |
| Clinical Features | Clinical features: Fever, Weight Loss, Anorexia, Appearance of the rash may be the first sign. Palate may be the first site before the rash appears on the trunk. The distribution is centripetal; trunk, face, limbs in that order. Macules appear first and within a few hours the lesions become papular and then vesicular and in next 24 hours pustular. Itching may be troublesome. Whether or not the pastules rupture, they dry up in a few days to form scabs. The spots appear in crops. |
| Preventions | |
| Treatment | Treatment: 1. patient should be isolated till the crusts have disappeared. 2. Antiseptic baths to reduce secondary bacterial infection 3. Antihistamine in adequate doses for pruritus. 4. For secondary infection appropriate antibiotics IV. 5. Bacitracin-neomycin ointment may be used locally. 6. Corticosteroids may be used for: a. Reducing the scar marks, b. For vericella encephalitis and pneumonia. |
| Complications | Complications: 1. Direct viral affects- Pneumonia, myocarditis. 2. Post viral affects- Glomerulonephritis, encephalitis. 3. Secondary bacterial infection- skin infection, septicemia, osteomyelitis etc |
| Prognosis | |
| Types | |
| Classification | |
| Observation | |
| Pathology |
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