Shingles
From varicella zoster
| activation of dormant virus later in life | |
|---|---|
| Etiology | 7-23 days (mean 14 days) incubation period |
| Epidemiology | |
| Clinical presentation | - Eruption of vesicles in dermatomal distribution - Neuropathic pain - Other manifestations: ophthalmic shingles (report visual loss immediately), disseminated zoster, Ramsay-Hunt syndrome |
| Pathogenesis | Reactivation of dormant infection in dorsal root ganglion |
| Diagnostic investigations | Clinical diagnosis |
| Management | 800mg acyclovir 800mg 5x/d PO Prevention: shingles vaccine (live attenuated) |