Page 102 - LECTURE NOTES
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¾ Also Nystatin suspension swish and swallow BID or prn
4.5 Viral Infection
4.5.1 Varicella (Chicken Pox)
Chicken pox is a highly contagious disease of child hood or adult that has never had
chicken pox caused by human herpes virus, which can be caused either by Herpes
virus varicella
Mode of transmission
The disease will be transmitted through inhalation of infective droplet nuclei
Incubation period
Contact with lesions after 10-20 days.
Clinical manifestation
¾ Fever and malaise are usually mild in children and more severe in adult
¾ The pururitic rash is centripetal and most prominent on the face, scalp and trunk
and lesser extent on the extremities
¾ Maculopapule change in few hours to vesicle that become pustule & eventually
form crust. New lesion may erupt for 1-5 days. The crusts usually slough in 7- 14
days, rash appears as drops on a rose petal
¾ Vesicular lesion, quickly rupturing to form small ulcers and appear first in
oropharynx
Complication
Secondary bacterial infection particularly with group A beta hemolytic streptococci is
common and encephalitis rarely.
The complications are:-
Cellulites, osteomyelitis, epiglottis’s and pneumonia are more common in adult than in
children. But in children acute respiratory disease syndrome is the common
complication
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