Can chickenpox in children be transmitted to adults?

Written by Hu Qi Feng
Pediatrics
Updated on September 26, 2024
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Chickenpox is a highly contagious exanthematous disease caused by varicella-zoster virus infection. Its clinical characteristics include the successive or simultaneous appearance of papules, vesicles, and crusts on the skin and mucous membranes. Both chickenpox and herpes zoster patients are sources of infection, primarily from those with chickenpox. From one to two days before the onset of the disease until crusting, it is highly contagious, mainly transmitted through airborne droplets and the respiratory tract, or by contact with vesicular fluid. The general population is susceptible, especially pregnant women and people with low immunity, making it possible to transmit to adults.

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Written by Liu Gang
Dermatology
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The contagious period of chickenpox is how many days?

Chickenpox is caused by a viral infection. This disease is quite contagious and is mostly transmitted through the air and respiratory system. The contagious period generally lasts about ten days, but it can vary from person to person, with some patients possibly experiencing a longer duration. Generally, children exhibit milder symptoms and have a shorter treatment period. In adults, the treatment period tends to be longer, typically ending when the symptoms have subsided and the blisters on the body have completely dried and fallen off. Once this disease is contracted, it is essential to isolate and treat it properly using antiviral medications. Children and elderly individuals in the household should avoid frequent contact to prevent transmission. After the onset of chickenpox, high fever may occur, so it is necessary to have some fever-reducing medications on hand to prevent other illnesses caused by the fever.

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Written by Yuan Lin Yan
Infectious Disease
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What are the symptoms of chickenpox?

Chickenpox is caused by infection with the varicella-zoster virus and is highly contagious. The symptoms of chickenpox mainly include fever and rash. The fever is usually mild and may be accompanied by chills, headache, fatigue, sore throat, and loss of appetite. These symptoms last for one to two days, followed by the appearance of a rash. The rash first appears on the trunk, then on the head and face, with the limbs being relatively less affected. Initially, the rash starts as red maculopapular lesions, which turn into vesicles within a few hours. The chickenpox rash appears in batches. The same area can show maculopapular lesions, vesicles, and crusts. Chickenpox is a self-limiting disease that usually resolves on its own in about ten days. However, complications such as secondary bacterial infections of the rash, pneumonia, encephalitis, and hepatitis can occur, potentially worsening the condition.

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Written by Liu Gang
Dermatology
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Is scabies chickenpox?

Scabies is caused by an infection of scabies mites and is highly contagious, generally being transmitted through direct contact, such as sharing clothes or sleeping in the same bed with shared bedding. Typically, the itching is milder during the day and worsens at night. Symptoms include itching, peeling, and blistering between the fingers. In males, red scabies nodules may appear on the scrotum. Chickenpox, caused by the varicella-zoster virus, is also highly contagious but primarily spreads through droplets and air. Once infected, it can be treated with antiviral medications. Scabies and chickenpox are entirely different diseases and must be diagnosed and treated separately.

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Written by Zhang Jian Kang
Infectious Disease
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The Differences between Chickenpox and Hand, Foot, and Mouth Disease

Chickenpox and hand, foot, and mouth disease are common infectious diseases in young children. Chickenpox is a febrile rash disease caused by the varicella-zoster virus. Its rash mainly manifests as maculopapular, vesicular, and crusted lesions, which appear simultaneously. Generally, these are primarily seen on the face and trunk with a centripetal distribution. Hand, foot, and mouth disease is mainly caused by viruses, such as enterovirus EV71 or Coxsackievirus A16. It causes a febrile rash disease with rashes typically found on the hands, feet, and around the mouth. Rashes on the chest, back, and face are relatively rare. Thus, the main clinical presentations of hand, foot, and mouth disease and chickenpox are the different forms of rashes.

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Chickenpox Symptoms and Treatment Methods

Chickenpox is caused by an infection with the varicella-zoster virus and is highly contagious. The symptoms of chickenpox mainly include fever and rash. The fever presents as a low-grade fever, possibly accompanied by chills, headache, fatigue, sore throat, and loss of appetite. These symptoms last for one to two days, followed by the appearance of a rash. The rash first appears on the trunk, then on the head and face, and is relatively less common on the limbs. It begins as red maculopapular rash and turns into vesicular rash within a few hours. The chickenpox rash appears in batches, and maculopapules, vesicles, and crusts can be seen in the same area. Chickenpox is a self-limiting disease that can be cured in about ten days. Patients should be isolated until all the vesicles have crusted over. Early in the course of the disease, antiviral treatment with acyclovir can be used. It is important to keep the skin clean and avoid scratching the vesicles to prevent infection.