Shingles - Medtick

Shingles

What is it?

It is caused by the same virus as chickenpox – varicella-zoster virus.

  • If one previously has had chickenpox the virus lays dormant (at bay) in our body and our immune system fights it, however it can be triggered and come back as shingles.
  • The infection travels down one nerves to the skin , they usually appear on side of the body in certain areas of the body.
  • Most recover in 4 weeks
  • Triggers include:

How contagious is it?

  • Shingles is only contagious to people who have never had chickenpox or any shigella virus
  • It is spread by direct skin-to-skin contact with the blister fluid.
  • When the blisters have formed scabs, you are no longer contagious

If left untreated?

If one has the Huthinson’s sign,  a blistering rash from the tip of the nose, please see your Medical doctor on the same day, if not go to hospital  as it may spread to the eye and lead to severe complications.

Ibuprofen and other NSAIDs can be used under medical supervision, however Ibuprofen and other NSAIDs is not recommended in asthma or asthma type symptoms. Check with your Medical doctor/Pharmacist when one can have any type of fever reducing medication to make sure it suitable for you.

Cause

  • Virus: Varicella-zoster virus (this virus stays dormant, in our bodies, but then becomes ‘active’ for reasons not fully understood, it tends to reactivate in areas where there lots of nerves in one area)
  • Direct contact to a person with shingles and/or via the respiratory route
  • Chicken pox

Known risk factors for developing herpes zoster relate to the status of cell-mediated immunity:

Symptoms

First phase:

  • High temperature greater than 38°C (100°F) or over and/or chills and sweats longer than 72 hours?
  • Confusion, loss of memory?
  • Headache which is on and off or a constant headache longer than 24 hours?
  • General discomfort (muscle weakness), uneasiness or ill feeling (malaise) and/or fatigue (tiredness)?
  • Sensitivity to light?
  • Skin is sensitive to touch?

Second phase:

  • Pain on either right or left hand side of body (particularly in stomach region and/or eye region but not always)?
  • Eye area affected (see medical doctor on the same day, if not go to hospital)?
  • Rash on the ‘pain side’  2-3 days later?
  • Blisters out  5-7 days later?
  • Blisters may be in a cluster or a linear pattern?

Complications /Information to beware of/General tips:

Medical Emergency Condition

And/or do not, wait phone for an ambulance if have or develop:

If one has the Huthinson’s sign, a blistering rash from the tip of the nose, please see your Medical doctor on the same day, if not go to hospital as it may spread to the eye and lead to severe complications.
  • Any eye condition
  • Lack of energy
  • Drowsiness
  • Confusion
  • Seizures (fits)
  • Severe headaches
  • Stiff neck
  • Behavioural changes
  • Vomiting
  • Problems with walking, balance or speech

This condition can lead to:

  • Erythema Multiforme
  • Skin infections
  • Cellulitis
  • Impetigo
  • Facial pain (it affects the trigeminal ganglion-nerve) and eye pain (the ophthalmic branch nerve)
  • Postherpetic neuralgia (Nerve pain and itching after shingles)- the virus attacks the nerve fibres:
    • Constant or intermittent burning, aching, throbbing, stabbing, or shooting pain
    • Allodynia (Feel pain from something that should not be painful, such as changes in temperature or the wind)
    • Hyperalgesia (Sensitive to pain)

If shingles spreads to eye (Hutchinson’s sign):

If shingles spreads to eye and ear:

Others:


Pregnancy and New-born

  • Pregnant women
    • Infection during the first 28 weeks can result in a rare but serious condition called congenital varicella syndrome, which may cause shortened limbs, vision problems (such as cataracts), brain damage and scarring.
    • Infection during weeks 28 to 37 can mean your baby is at risk of developing shingles at some point after they’re born.
    • Infection a week before to a week after birth can mean your baby is a risk of a severe and potentially life-threatening chickenpox infection.

Complications can occur to the following:

  • Adults especially those who smoke
  • Newborn babies under four weeks old
  • Persons with a weakened immune system (the body’s defence system) and those taking medication that make the immune system weak.
  • Those who have any type of eczema condition:
    • Viral skin infections (eczema herpeticum, caused by herpes virus):
    • Areas of painful eczema that quickly get worse
    • Groups of fluid-filled blisters that break open and leave small, shallow open sores on the skin
    • High temperature and generally feeling unwell

General tips

  • Do no treat this condition with steroidal cream and/or moisturisers as it may make the condition worst.
  • One can use anti-histamines (if suitable), chicken pox gels and lotions (if suitable) and/or calamine lotion (if suitable) to calm the skin down if its it itchy and/or sore.
  • If it appears infected and/or is getting worst, your medical doctor will decide if antibiotics and/or viral medication is required.

H.I.V test

  • A H.I.V test should be offered if one has an ongoing condition.

This condition may show similar symptoms to:

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

Please copy and paste any key words from the title: Shingles in the following respective 'Medtick References and/or Sources' to find out more about the disease (this also may include diagnosis tests and generic medical treatments).

  • NHS

    Find information and advice on health conditions, symptoms, healthy living, medicines and how to get help (British National Health Service).

  • Medscape

    Latest medical news and expert commentary in your specialty as well as disease information.

  • Pharmaceutical Journal

    The Pharmaceutical Journal covers analysis, features, opinion, learning and careers articles, providing insight and knowledge about drugs, pharmacy practice, medicines use and healthcare policy in the context of the pharmacy profession and pharmaceutical science.

  • Healthline

    Medical Information and health advice you can trust

  • ChatGPT

    Get instant answers, find creative inspiration, and learn something new.

  • Medical News Today

    Medical news and health news headlines posted throughout the day, every day.

  • WebMD

    Better Information. Better Health.

  • Cleveland Clinic

    Pushing the Standards of care.

  • Mayo Clinic

    No.1 Hospital in the Nation (America)

  • Drugs.com

    Know more. Be sure.

  • National Organisation of Rare Diseases

    NORD is dedicated to supporting education, elevating care, advancing research, and driving policy for rare diseases.

  • Verywell Health

    Know more. Fell better.

  • Fit for Travel

    Information on how to stay safe and healthy abroad.

  • DR Axe

    Health and fitness news. Recipes, Natural Remedies

References

https://www.healthline.com/health/hutchinsons-sign-shingles