Chicken pox:
Varicella-zoster virus (VZV) causes two distinct clinical entities: varicella
(chickenpox) and herpes zoster (shingles). The incubation period of chickenpox
ranges between 10 and 21 days but is usually between 14 and 17 days. Secondary
attack rates in susceptible siblings within a household are between 70 and 90%.
Patients are infectious approximately 48 h prior to the onset of the vesicular
rash, during the period of vesicle formation (which generally lasts 4 to 5 days),
and until all vesicles are crusted.
Clinically, chickenpox presents as a rash, low-grade fever, and malaise, although
a few patients develop a prodrome 1 to 2 days before onset of the exanthem.
In the immunocompetent patient, this is usually a benign illness that is associated
with lassitude and with body temperatures of 37.8 to 39.4?C (100 to 103?F) of
3 to 5 days' duration. The skin lesions?the hallmark of the infection?include
maculopapules, vesicles, and scabs in various stages of evolution. These lesions,
which evolve from maculopapules to vesicles over hours to days, appear on the
trunk and face and rapidly spread to involve other areas of the body. Most are
small and have an erythematous base with a diameter of 5 to 10 mm. Successive
crops appear over a 2- to 4-day period.

