Suspected Chicken Pox

A 28 years old male presented to OPD with complaints of fever, decreased appetite, extreme fatigue and such lesions on his trunk area, one of them was fluid filled as marked Chief Complaints One important thing is he is not complaining of itching so much History Her mother had Herpes Zoster(Shingles) on 20th November, probably its due to his mother that he contracted Varicella(Chicken Pox) Management Kindly give your valuable views to manage such cases I have given Famciclovir, Azilide, B bact oint + Acyclovir local application, ORS, plenty fluids, PCM 500 SOS

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Chicken pox Truncle acne Bullous impetigo

Eruptions are not typical of varicella ie chicken pox But h/o contact with infectious pt is there so likely in prodromal stage If you are satisfied to clinical presentation suggestive of chicken pox than go for it Acyclovir 800mg 5/dayfor7days Locally calosoft AF lotion twice daily Tab paracetamol tds

Thanx dr Ajeet Singh
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I would like to present a few interesting aspects of the case . The average incubation period for varicella is 14 to 16 days after exposure to a varicella or a herpes zoster rash, with a range of 10 to 21 days. A mild prodrome of fever and malaise may occur 1 to 2 days before rash onset, particularly in adults . An adult can get Chicken pox from contact with a case of HZ ,if he has not suffered chicken pox in the child hood or is immuno compromised. Further , the IP of the disease in son is less than the accepted minimum of the range of IP and also the rash develops after 48 hrs of prodrome . This indicates that he might not have acquired it from her mother,but both must have acquired from some same other source. The mother expressing as HZ (presumably as she must have suffered chicken pox in her child hood and her son developed a mild chicken pox . Chicken pox occurring in adults for the first time is said to be severe , where as the lesions are very sparse , in this case . The vesicles are multilocular in chicken pox (do not collapse completely on pricking with a sterile needle . if not the possibility of the vesicular lesion being due to another viral exanthem cannot be ruled out. NOW,HOW SURE IS THE MOTHER'S DIAGNOSIS OF HZ IS ALSO RELEVANT. This analysis might not be useful fo diehard practiiners but is hoped to tickle the imagination of the academicians colleagues .

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Looks like Chicken pox Rx Acyclovir oint&tab Tab Calpol 500mg tds Tab Gabapentin 300mg

Chicken pox...

Chicken pox Adv T. Acyclovir 800 mg one tablet five times a day for 7 days

Chicken Pox ? Rx- Acyclovir oint & Tab.paracetamol 500bd

Chikan pox. VZ .

YES,,, IT IS VARICELLA (CHICKEN POX). RX,, TAB VALACYCLOVIR -500 MG THREE TIMES PER DAY FOR 07 DAYS. TAB LEVOCET-5 MG BD FOR 5 DAYS. OCUVIR OINTMENT APPLY TWICE DAILY. APPLY XYLOCAINE JELLY FOR INSTANT RELIEF. TAB NORTRYPTILINE GABAPENTIN METHYLCOBALAMIN ORALLY HS. REST,, CONTINUE SYMPTOMATIC TREATMENT WITH CLINICAL CORRELATION.

Thanks @Dr. Ajeet Singh sir
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? VARICELLA ZOSTER ..

Thank you doctor
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