Varicella zoster virus

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 30.09.2022

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Synonym(s)

HHV3; HHV-3; VZV

Definition
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Varicella zoster virus is a DNA virus from the group of human herpes viruses that can cause disease in humans and other vertebrates. S.u. Herpes viruses, human.

General definition
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VZV is very easily transmitted by droplet infection and then causes chickenpox as the initial manifestation, rarely zoster meningitis or zoster encephalitis. After the disease has healed, it persists in sensitive nerve cells for life. In the case of immunodeficiency or in old age, the virus can reactivate and lead to the secondary disease of shingles (zoster) (see zoster below).

Pathogen
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VZV is membrane-enveloped, contains double-stranded DNA (dsDNA) and is large as an icosahedron with 162 capsomers 150-200 nm in diameter. The virus belongs to the genus Varicellovirus, the subfamily of the Alpha-Herpes-Viridae and the family of Herpesviridae. It is closely related to the herpes simplex viruses, since it shares a large part of its genome with them. The only natural reservoir is humans.

Occurrence/Epidemiology
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Prevalence: 400/100.000 inhabitants/year.

Manifestation
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People between the ages of 50 and 70 are most frequently affected. No sex preference.

Clinical picture
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Diseases:

  • Varicella (chickenpox), peak of disease between the ages of 2 and 10.
  • Reye 's syndrome: rare acute syndrome, usually occurring in children and adolescents, characterized by encephalopathy with cerebral edema and fine droplet fatty degeneration of the liver, associated with varicella in 15-40% of cases. Observed especially when taking acetylsalicylic acid.
  • Zoster as endogenous recurrence: disease peaks in older age. Overall, about 15% of all people develop the disease during their lifetime.
  • Varicella syndrome, congenital: Fetal varicella syndrome occurs in 0.7-2% of fetuses whose mothers have undergone primary infection in the first trimester of pregnancy.

Prophylaxis
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Vaccination with Varicella zoster vaccine (Varivax®).

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 30.09.2022