Varicella Zoster Flashcards

1
Q

def

A

a childhood rash caused by human alpha herpes virus, varicella zoster

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2
Q

what is the common name for varicella zoster

A

chickenpox

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3
Q

who is VZV common in

A

children

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4
Q

is VZV contagious

A

yes

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5
Q

aetiology

A

infection by VZV, which is an alpha herpes virus

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6
Q

what is clinical disease a manifestation of

A

second viraemic phase

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7
Q

what does reactivation of VZV cause

A

shingles

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8
Q

where does VZV remain latent

A

cranial nerves and dorsal root ganglia

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9
Q

how is VZV transmitted

A

contact

aerosol transmission

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10
Q

pathogenesis

A
VZV infection
primary viraemic phase
-regional lymph nodes
-liver + spleen
secondary viraemic phase
-VZV spreads to skin causing rash
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11
Q

how long is chickenpox infectious

A

2 days before skin lesions appear up to 5 days from lesions crusting over

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12
Q

risk factors

A

children
exposure with infected person
unimmunised

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13
Q

history

A

common for children to present with a fever and vesicular rash (like a rose petal) which becomes fluid filled vesicles on mucous membranes

additionally itchiness, headache, fatigue, sore throat

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14
Q

where does the rash appear first and where does it spread next

A

face and scalp

spreads to trunk then extremities

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15
Q

how is VZV diagnosed

A

clinical diagnosis

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16
Q

what is the most sensitive and specific test for VZV

A

PCR positive for VZV DNA

17
Q

what is the management for VZV in children (chickenpox)

A

supportive care with paracetomal, skin emollients and antihistamines

18
Q

what is given for severe VZV

A

aciclovir

19
Q

complications

A

secondary bacterial infection with s aureus and HAS infection
varicella associated complications such as pneumonia, encephalitis, meningitis

20
Q

how commonly does VZV reactivate and cause shingles

A

in one third