Doctor insights on:
Chicken Pox Recurrence In Adults
If u had chicken pox in the past, can u get the chickpox vaccine to avoid recurrence? Also, can u get shingles vacine b4 age 50 if u had chickpox b4?
Caused by the varicella-zoster virus, chicken pox results in a blister rash that starts on the stomach, back, and face and spreads throughout the entire body. These small itchy blisters eventually scab over. Associated symptoms include itching, fatigue, malaise, and a fever. The most effective method to prevent spreading of the varicella virus is ...Read more
A 72 year old male with a history of shingles and post herpetic neuralgia gets exposed to a child with chicken pox. Any risk of shingles recurrence?
No risk: This way but shingle can reoccur rarely. ...Read more
Yes: If they never had them as a kid they can get them as an adult. Most (80%) who don't recall having them as a kid have blood test evidence that they did have them in the past. However, adult chickenpox is quite worrisome with some developing a fatal pneumonia and many quite sick with the illness. ...Read more
Get much sicker: Adults get sicker with high fever, more intense itching, and can get other infections such as pneumonia due to lowered immunity caused by the chicken pox. There's also greater risk of death, visible scarring, and shingles resulting from chicken pox in adults. It can also cause sterility in adult men. Adults immune system is stronger which is why they mount more of a response than kids. ...Read more
Outcome variability: At it's peak, chickenpox was most common in preschool kids, with > 2 million cases/yr, 50 deaths & 10, 000 hospitalizations. With the adoption of the vaccine the kid problem has become less an issue & sporadic adult cases have gotten more attention. Adults are at higher risk of a fatal pneumonia for reasons that are unexplained. We see a similar increased morbidity with mumps in adulthood. ...Read more
Family practice: You can eat anything that you can tolerate. Soup is always good. ...Read more
Beneficial practice: Regular bathing reduces the chance that the blisters of chickenpox will be invaded by bacterial agents. Group a strep, staph & others find the weeping lesions a fertile breeding ground. People are >50x more likely to get flesh eating strep during cpx. Most adults would choose to bathe with these odds but some may not. ...Read more
Adult chicken pox: Chickenpox complications are more likely to occur in adults than in children. Despite the fact that adults account for only 5 percent of chickenpox cases per year, they account for a disproportionate number of deaths (55 percent) and hospitalizations (33 percent) compared to children. ...Read more
Uncomfortable!: Chicken pox is a condition that is usually more uncomfortable than serious. In the US it's pretty rare because of the widespread use of a vaccine. If you have confirmed CP then your goal is to stay as comfortable as possible and treat fever or itching with appropriate meds. If you develop high fever or large areas of redness see ur doctor as strep infections can occur as a complication. ...Read more
Varivax: Varivax is the one you want to get. ...Read more
Maybe: Altho said to be possible, ridiculousy rare. ...Read more
I'm wondering why are adults more likely to get pneumonia from chicken pox (varicella pneumonia) than children are?
Because.: Many illnesses that are mild when they occur in childhood are more more severe when contracted as an adult. It may be that the immune response is over-reactive in the adult organism & that this hyper-response is at least partially responsible for the severity of symptoms in adults. Mononucleosus is typically worse when occurring in adults and adolescent. In younger children its just like a cold. ...Read more
Are adults more likely or less likely to develop shingles if, every few years, they come into contact with children who have chicken pox?
Depends...: ...On how high your chicken pox antibody titre is. As we get older our antibody levels diminish, and it is thought that when the level drops below some unknown threshold, the next exposure to chicken pox will trigger shingles. (there may be other triggers as well.) the risk increases as you get older, which is why the shingles vaccine (zostavax) is recommended after age 60. ...Read more
Best evidence...: ...Suggests that shingles is contagious starting when blisters appear and ending 24 hours after all the blisters have crusted over. This usually takes about 7 days from beginning to end - longer in severe cases. But remember that most kids these days have been vaccinated against chickenpox, so the question is often moot. ...Read more
Yes you can: All people over the age of 13 who have not had chicken pox and have not received the vaccine should get two doses of Varicella Vaccine a month apart to get the desired immunity ...Read more
I did not have chicken pox as a child but have had shingles as an adult. I am on enbrel (etanercept). Should I avoid contact with people with shingles?
Not necessary: Although you do not remember having had symptomatic chickenpox as a child you must have gotten it since shingles (herpes zoster) is a recurrence of the varicella zoster virus infection. Once you have this you have it for life. Am surprised that you have not been advised to have the vaccine. In any event you don't have to avoid individuals with shingles. ...Read more
Hey, can I have some help with the recommendations for adults and chicken pox / shingles vaccines?
Restate question: If you have a specific need, please describe it and ask a related question. If you do not understand the vaccines or what they do, please ask. Please start over & provide a defined concern that can be addressed in a finite answer. We have limited space to respond. ...Read more