1Q: What organism is responsible for chicken pox?
1A: Varicella zoster virus.
2Q: Where may the virus lie dormant?
2A: In the dorsal root ganglion.
3Q: If the virus becomes reactivated what is that disease called?
3A: Reactivation of the virus results in Shingles.
4Q: How is chicken pox spread?
4A: Chicken pox is spread by the respiratory route.
5Q: Who could a patient catch chicken pox from?
5A: From a patient suffering from either chickenpox or shingles.
6Q: When does a patient become infective to someone else?
6A: They become infective from 4 days before the rash first appears.
7Q: Until when does a patient remain infective?
7A: They remain infective until 5 days after the rash first appears.
8Q: How long is the incubation period for chickenpox?
8A: 10 – 21 days.
9Q: What does the clinical syndrome usually start with?
10Q: Where does the chicken pox rash start and spread to?
10A: The rash usually starts on the head and trunk and spreads all over the body.
11Q: How bad is the systemic illness?
11A: Systemic upset is usually mild.
12Q: How do you manage chickenpox? (three things)
12A: Keep them cool, trim nails, calamine lotion,
13Q: When do you keep kids off school – how long for?
13A: Keep them off school until all the lesions have crusted crusted over.
14Q: Who do you need to be really careful for if they’re exposed to chicken pox?
14A: immunocompromised and newborns.
15Q: If those patients are exposed what should they receive?
15A: Varocella zoster immunoglobulin (VZIG)
16Q: If chickenpox develops in the immunocompromised or in newborns, what should be considered?
16A: IV aciclovir
17Q: What is the most common complication of chickenpox?
17A: Secondary infection of the lesion.
18Q: What are the rare complications of chickenpox?
Encephalitis (cerebella involvement may be seen)
Disseminated haemorrhagic chickenpox
Arthritis, nephritis and pancreatitis