Difference between revisions of "Varicella"

(added details)
(typo)
Line 14: Line 14:
 
==Treatment==
 
==Treatment==
 
*Tylenol, antihistamine, oatmeal baths
 
*Tylenol, antihistamine, oatmeal baths
*No Aspirin (may redispose to Reye syndrome)
+
*No Aspirin (may predispose to Reye syndrome)
 
*Routine use of antiretrovirals for uncomplicated cases in immunocompetent children is not recommended (Tintinallli 7th ed)
 
*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)
 
*Immunocompromised: IV acyclovir or high-dose PO tx (600mg/m2/day)

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 predispose 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

Pediatric Rashes