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afya
ChickenPox
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> Caused by Varicella Zoster Shingles is reactivation Highly infectious - spread resp, can be caught from shingles, from 4/7 pre rash to 5/7 post 1st appeared, incubation 10-21/7 Clinical features (more severe if older), fever, itchy rash usually starts on head/ trunk, macular then papular then vesicular, mild systemic upset Mx - supportive - keep cool, trim nails, calamine If immunocompromised/newborns give Ig and Acyclovir if rash develops school exclusion until 5/7 after rash appears Complications Pneumonia Bacterial infection of lesions Encephalitis Disseminated haemorrhagic Arthritis, Nephritis, Pancreatitis
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