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Varicella

Varicella is a topic covered in the 5-Minute Emergency Consult.

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Basics

Description

  • Commonly known as chickenpox
  • Most common in late winter and early spring
  • Vaccine has reduced incidence by 85%
  • Adults have a 15 times greater risk for death from varicella than children

Etiology

  • DNA virus:
    • Latency in cranial nerve ganglia, dorsal root ganglia, and autonomic ganglia with periodic reactivation
    • Presents as herpes zoster or shingles decades after primary infection
    • Virus is transmitted by respiratory route and direct contact with skin lesions
    • Humans are only known reservoir

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Citation

Rosen, Peter, et al., editors. "Varicella." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307152/all/Varicella.
Varicella. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307152/all/Varicella. Accessed April 24, 2019.
Varicella. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307152/all/Varicella
Varicella [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 April 24]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307152/all/Varicella.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Varicella ID - 307152 ED - Rosen,Peter, ED - Shayne,Philip, ED - Barkin,Adam Z, ED - Wolfe,Richard E, ED - Hayden,Stephen R, ED - Barkin,Roger M, ED - Schaider,Jeffrey J, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307152/all/Varicella PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -