An acute and highly contagious disease of viral etiology that is characterized by vesicular eruptions on the skin and mucuous

membrane w/ mild constitutional symtoms.

Herpesvirus varicellae- a DNA containing virus 1. Human beings are the only source of infection. 2. this is closely related or identical to herpes zoster virus.

10 to 21 days or maybe prolonged after passive immunization against chickenpox.

1. Direct contact w/ a patient who sheds the virus from the vesicles. 2. Indirect contact, through linens or fomites. 3. Airborne, spread by droplet infection.

Fever Malaise Headache Body pain Vomiting

1. Pre-eruptive manifestations are mild fever and malaise. 2. Eruptive stage a. Rash starts on the trunk, then spreads to other parts of the body. b. Initial lesions are distinctively red papules whose contents become milky and pus-like w/in 4 days. c. The stages are characterized as follows: - macule : is a lesion that is not elevated above the skin surface - papule: is a lesion that is elevated above the skin surface w/ a diameter of about 3 mm - vesicle: is a pop-like eruption filled with fluid. The thin-walled vesicle early bursts and dries up in 3-5 days. - pustule: is a vesicle that is infected or filled w/ pus If the lesion becomes infected the scar may be big and wide. -crust: is a scab or eschar. This is a secondary lesion caused by the secretion of vesicle drying on the skin. The scars are superficial, depigmented and take time to fade out.

Oral acyclovir 800 mg 3x a day for 5 days must also be given. Oral antihistamine can be taken to symptomatic pruritus. Antipyretic might be given for fever. Calamine lotion will ease itchiness.

1. Active immunization w/ live, attenuated varicella vaccine is necessary. 2. Avoid exposure as much as possible to infected persons. 3. Patient must be isolated to avoid transmission of organism to other members of the family.

A viral disease characterized by the appearance of sores and blisters anywhere on the skin. These sores usually either around the mouth and nose, or on the genitals and buttocks. It is related to the viruses that cause infectious mononucleosis (Epstein-Barr virus), chickenpox, and shingles.

Herpes simplex virus (HSV)

Herpes Simplex virus may last for 2 to 21 days.

Through direct skin-to-skin contact with the infected area during vaginal, anal or oral sex. Direct contact with infected secretions or mucous membranes/skin with lesions from an asymptomatic or symptomatic patients shedding the virus, is the main mode of transmission of HSV.Transmission of HSV-1 can also occur by respiratory droplets.Genital herpes is transmitted sexually.

Clinical manifestation ranges from mild to fatal disease, depending on the age and other characteristics of host, the organs involved and the nature of the infection. I. Mild to moderate 1. Oral herpes 2. Labial herpes 3. Ocular herpes 4. Cutaneous herpes 5. Erythema multiforme 6. Genital herpes

II. Severe to fatal disease 1. newborns 2. Eczema varicelliforn eruption 3. Encephalitis

Small, painful blisters filled with fluid around the lips or edge of the mouth Tingling or burning around the mouth or nose, often a few days before blisters appear Fever Sore throat Swollen lymph nodes in neck

Tingling sensation in the genitalia, buttocks, and thighs Small red blisters or open sores on genitals or inner thighs; in women, often occur inside the vagina May be painful or not In women, vaginal discharge Fever, muscle aches Headache Painful urination Swollen lymph glands in the groin

1. Oral anti-viral drugs such as acyclovir, famiciclovir or valacyclovir 2. Personal hygiene 3. Restoration of fluid and electrolyte balance 4. Isolation of clients, esp. those w/ eczema herpeticum or neonatal herpes 5. Practice of universal precaution and through handwashing

HSV-1 Avoiding kissing people with visible core sores. Don't share personal items. Wash your hands frequently. If you have HSV-1, be careful touching your eyes and genitals; don't perform oral sex on your partner. Use sunscreen. Reduce stress.

HSV-2 Avoid having sex if you or your partner has an outbreak or active infection of herpes. Herpes outbreaks are not always obvious and your partner may be contagious without you knowing it. Anyone involved in an ongoing sexual relationship with a partner infected with HSV-2 should get counseling from a health care practitioner on how to stay safe. Avoid touching the sores. Use or have your partner use a latex condom, even when sores are not visible. Limit the number of sex partners. Use a water-based lubricant to prevent friction during sex, which can irritate the skin and increase the risk of outbreaks.

The herpes simplex viruses are latent. After the initial infection, the virus gets into the nerve roots and spreads to the sensory nerve ganglia. The ganglia are the nerve junctions in which nerves from different parts of the body come together

German measles is a mild viral illness cause by rubella virus. It causes mild feverish illness associated with rashes and aches in joints. It has a teratogenic effect on the fetus.

Rubella virus (Family-Togaviridae;Genus-Rubivirus)

From exposure to the appearance of rash, Incubation: 2-3 weeks

Direct contact with nasopharyngeal secretions. Air droplets Transplacenta transmition in congenital rubella. Infants with congenital rubella shed large quantities of virus in their pharyngeal secretions and urine which serve as source of infection to other contacts

Low grade fever Headache Malaise Mild coryza Conjunctivitis

The patient should be isolated. The patient should be advised to rest in the bed until fever subsides. The patients room must be darkened to avoid photophobia The must take mild liquid but nourishing diet . Good ventilation is necessary.

Administration of live attenuated vaccine (MMR). Pregnant women should avoid exposure to patients infected with Rubella virus. Administration of Immune Serum Globulin one week after exposure to Rubella.