Infectious Disease through
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Infectious Disease through
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CHICKENPOX
Is
chickenpox a totally harmless disease
in children ?
in children ?
In a vast majority of children chickenpox is not associated with
any complications. Secondary bacterial infection affecting the
skin lesions is the commonest complication that one encounters.
In a minority of children, the virus could prove more aggressive and cause infection in the lungs leading to pneumonia and may
affect the brain leading to swelling and infection of the brain
(encephalitis). Such a child may develop unconsciousness and
convulsions.
These could prove fatal. Occasionally, virus may affect small
brain (cerebellum) resulting in difficulty in walking. Many other
complications are described. But these usually have a self-limited
course. Most children get away with only a few scars that remain
to the skin once the crusts fall of. At times, the scarring may
be unsightly, which may cause cosmetic concerns later in life.
What
happens if an adolescent or adult contracts chickenpox ?
Chickenpox is more severe in adolescents and adults than in children.
The fever is higher and continuous for much longer. The rash is
much heavier. The likelihood of complications is greater, too.
They are more likely to suffer from pneumonia. The risk of complications
and death tend to be higher when chickenpox is contracted later
in life.
Who
are more likely to suffer from chickenpox ?
Anyone who has not suffered from chickenpox previously is at risk
of developing it.
If a mother has antibodies against chickenpox in her blood, she passes them on to her baby. These remain in the baby's blood for 9-12 months protecting him from chickenpox. After this period, the infant becomes susceptible to develop the infection.
As chickenpox usually affects infants and young children, those who spend a lot of time with children, like susceptible teachers and persons running the day-care centers have more chances of contracting the infection. In addition, health care providers (doctors, nurses, and hospital personnel) are at added risk of developing the infection since they may come in contact with a case during the course of their duty.
If a mother has antibodies against chickenpox in her blood, she passes them on to her baby. These remain in the baby's blood for 9-12 months protecting him from chickenpox. After this period, the infant becomes susceptible to develop the infection.
As chickenpox usually affects infants and young children, those who spend a lot of time with children, like susceptible teachers and persons running the day-care centers have more chances of contracting the infection. In addition, health care providers (doctors, nurses, and hospital personnel) are at added risk of developing the infection since they may come in contact with a case during the course of their duty.
Is
the course of chickenpox unusually severe in some children ?
The disease is self-limited in most children as their immune system
is well developed. If, however, a child whose immunity is low
develops chickenpox, he is more likely to suffer from a severe
course. Hence, children suffering from leukemia (blood cancer)
or HIV infection or those on anti-cancer drugs may develop a severe
variety of chickenpox. Adolescents may have an unusually severe
course of chickenpox. Fever and constitutional symptoms are severe.
Rash is heavier and confluent, complication rate higher and chances
of fatality greater in them.
What
are the consequences for a pregnant woman who comes
in contact with a case of chickenpox ?
in contact with a case of chickenpox ?
If a pregnant woman has previously suffered from chickenpox and
has immunity against it, she is at no risk of developing chickenpox.
If not, she may contract the infection which may have a severe
course with higher likelihood of complications like pneumonia
and may even succumb to the disease. There could be effects on
her unborn fetus too.
Last updated on 01-03-2007

Infectious Disease in Children Specialist
Answer
Infectious Disease through Virus
AIDS and HIV
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