Complications OF HERPES ZOSTER

In the normal child, varicella is rarely complicated. The most common complication is the secondary bacterial infection of skin lesions, usually by staphylococci or streptococci, which may produce impetigo, furuncles, cellulitis, erysipelas, and, rarely, gangrene. These local infections often lead to scarring and, rarely, to septicemia with metastatic infection of other organs. Bullous lesions may develop when vesicles are superinfected by staphylococci that produce exfoliative toxins. Invasive group A streptococcal infections are particularly virulent. In the absence of varicella vaccination, up to one-third of invasive group A streptococcal infections are associated with varicella; they usually occur within 2 weeks of the onset of the varicella rash. Widespread varicella vaccination appears to have markedly reduced the percentage of invasive group A streptococcal hospitalizations associated with varicella in the United States.

Other most important complication is post herpetic neuralgia. it may last months or years.

 AS EARLY AS GIVEN DR RAJGURU HOMEOPATHIC RESEARCH MEDICINE

Reduces chances of  postherpetic neuralgia, those with a risk of developing this complication should be treated, ie, those over age 50 and those with nontruncal eruption. In addition, younger patients with acute moderate to severe pain or rash may benefit from effective homeopathic medicine.

IN CONVENTIONAL MEDICINE

 Treatment can be given with oral acyclovir, 800 mg five times daily; famciclovir, 500 mg three times daily; or valacyclovir, 1 g three times daily—all for 7 days . For reasons of increased bioavailability and ease of dosing schedule, the preferred agents are those given three times daily. Patients should maintain good hydration. The dose of antiviral should be adjusted for renal function as recommended. Nerve blocks may be important in the management of initial severe pain. Ophthalmologic consultation is vital for involvement of the first branch of the trigeminal nerve. Systemic corticosteroids are effective in reducing acute pain, improving quality of life,

But by the conventional medicines due high antiviral drugs, and painkiller medicines, the herpetic lesions are suppressed and the are most chances to develop post herpetic neuralgia.