VIRAL INFECTION - Faculty of Medicine
VIRAL INFECTION - Faculty of Medicine
VIRAL INFECTION - Faculty of Medicine
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Herpes zoster (shingles)Varicella (chickenpox)After primary infection, virus lies dormantin genome <strong>of</strong> sensory nerve root cellPostulated triggers include mechanicaland trauma, infection, immunosuppressionLesions are grouped, thin-walled vesicleson erythematous base distributed alongdermatomelesions in multi-stagesPathogenesis <strong>of</strong> VZVShinglesPrimary infection ( chickenpox)VZV spread from mucosal and epidermal lesionsto local sensory nervesVZV remains latent in dorsal ganglion cells <strong>of</strong>sensory nervesReactivation <strong>of</strong> VZV results in syndrome <strong>of</strong> herpeszoster (shingles)Varicella zoster virus (VZV)Shingles• Gross:- chickenpox: diffuse, scattered vesicles- shingles: vesicles distribution along theperipheral nerve (dermatome)• Histology:- Intranuclear inclusion <strong>of</strong> infected cells(multinucleated cells)