The most common complication of varicella is a secondary bacterial infection of the chickenpox lesions typically caused by Staphylococcus aureus or Streptococcus pyogenes, resulting in skin infections such as a impetigo, furunculosis, cellulitis, and erysipelas, as well as an infection of lymph nodes known as lymphadenitis. Necrotizing fasciitis is an uncommon but serious complication of chickenpox infection in young children. Because many of these infections affect the musculoskeletal tissues, orthopedic surgeons are often the first caregivers to be involved in diagnosis and treatment. A high level of suspicion is necessary for early recognition and timely appropriate treatment of secondary infections.
Suspect secondary infection if systemic manifestations do not improve in 3-4.
Early recognition of secondary bacterial infection and appropriate follow-up are major issues. Failure to recognize occult infection may result in serious illness and. The Royal College of Obstetrics and Gynaecology recommends offering a seven-day course of oral aciclovir to women who have contracted chickenpox infection if they are or more weeks pregnant. There is no cure for fowl pox , but there are comfort measures that can be provided for affected chickens as well as preventative measures to avoid secondary bacterial infections caused by the lesions. Unaffected birds can be vaccinated during an outbreak.
Offer tetracycline antibiotics in the water to help control secondary. The chickenpox vaccine prevents almost all cases of severe illness. Since the varicella vaccination program began in the United States, there has been over decrease in chickenpox cases, hospitalizations, and deaths.
For more information about chickenpox vaccine, see Vaccination. Chickenpox during pregnancy (especially during the last month) Secondary skin infections. Secondary bacterial infection of skin lesions, manifesting as impetigo, cellulitis, and erysipelas, is the most common complication in healthy children. Disseminated primary varicella infection usually seen in the immunocompromised may have high morbidity.
Ninety percent of cases of varicella pneumonia occur in the adult population. What is the treatment for chickenpox? What diseases are related to chickenpox? How to care for children with chickenpox?
What are the early symptoms of chickenpox? See Treatment and Management. Go to Chickenpox for complete nonpediatric information on this topic. Chicken pox is highly contagious, and the contagious period starts a few days before the rash appears and may last until hours after all the blisters have dried up and crusted over. Immunoglobulin is a solution of antibodies that is taken from healthy donors.
Varicella-zoster immunoglobulin (VZIG) contains antibodies to the chickenpox virus. It is not used to treat chickenpox , but to protect people who are at high risk of developing a severe chickenpox infection. Patients were divided into those who developed a secondary infection and those who did not.
A second infection required recovery of a bacterial or fungal agent from blood or an infected site.
Patients from whom coagulase negative staphylococci or alpha-hemolytic streptococci were recovered only once were excluded. Mild cases of chickenpox in children require only symptomatic treatment. Relief of itching and prevention of scratching, which predisposes to secondary bacterial infection , may be difficult.
Wet compresses or, for severe itching, systemic antihistamines and colloidal oatmeal baths may help. It is caused by varicella-zoster virus (VZV), which is a DNA virus that is a member of the herpesvirus group. After the primary infection , VZV stays in the body (in the sensory nerve ganglia) as a latent infection. Primary infection with VZV causes varicella. Reactivation of latent infection causes herpes zoster (shingles).
The treatment of primary varicella infection will be reviewed here. Issues related to the transmission, clinical manifestations, and complications of varicella, as well as the management of pregnant women and neonates, are discussed separately. This could indicate a secondary bacterial skin infection.
The rash is accompanied by dizziness, disorientation, rapid heartbeat, shortness of breath, tremors, loss of muscle coordination, worsening cough, vomiting, stiff neck or a fever higher than 1F (3 C). Symptomatic Treatment – Patients with varicella should be isolated until crusting. Fever should be treated by a high dose of acetaminophen. Itching is treated by oral antihistaminics like Lenocetrizine, Desloratidine etc and topical calamine lotion.
In the case of secondary bacterial infection oral antibiotics are given. Chicken pox ( chicken pox ) in moderate cases requires only symptomatic treatment. Measures aimed at reducing itching and preventing the breakdown of crusts that predispose to secondary infection are sometimes difficult to achieve.
Gauze compresses may be useful, or, with severe itching, systemic antihistamines, mucous oat baths.
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