Varicella: Difference between revisions
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==Treatment== | ==Treatment== | ||
*Tylenol, antihistamine, oatmeal baths | |||
**Immunocompromised: IV acyclovir or high-dose PO tx (600mg/m2/day) | *No Aspirin (may redispose to Reye syndrome) | ||
*Routine use of antiretrovirals for uncomplicated cases in immunocompetent children is not recommended (Tintinallli 7th ed) | |||
*Immunocompromised: IV acyclovir or high-dose PO tx (600mg/m2/day) | |||
==Complications== | |||
*Can include encephalitis, pneumonia, hepatitis, strep/staph superinfection of ruptured vesicles | |||
*Perinatal infection in neonates may develop serious illness | |||
==See Also== | ==See Also== | ||
[[Pediatric Rashes]] | [[Pediatric Rashes]] | ||
Revision as of 16:11, 31 August 2014
Background
- Also known as "Chicken Pox"
- Contagious until last lesion crusts over
Diagnosis
- Pruritic generalized vesicular exanthem w/ mild systemic manifestations
- Usually affects children <10y
- Rash
- Starts on trunk or scalp as pruritic, red macules, spreads to extremities
- W/in 24hr rash becomes vesicular (on erythematous base)
- Palms/soles spared
- Lesions in various stages of development
Treatment
- Tylenol, antihistamine, oatmeal baths
- No Aspirin (may redispose to Reye syndrome)
- Routine use of antiretrovirals for uncomplicated cases in immunocompetent children is not recommended (Tintinallli 7th ed)
- Immunocompromised: IV acyclovir or high-dose PO tx (600mg/m2/day)
Complications
- Can include encephalitis, pneumonia, hepatitis, strep/staph superinfection of ruptured vesicles
- Perinatal infection in neonates may develop serious illness