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  #1  
Old 06-22-2011
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Question ALL treatment and chicken pox

A 7 year old girl is being treated for acute lymphocytic leukemia (ALL) . Her mother informs you that her brother just came down with chicken pox . The little girl has never received varicella vaccine and has never had a previous episodeof chicken pox. What is the appropriate treatment?

A. Acyclovir IV
B. Varicella vaccine and VZIG
C. Varicella immune Globulin (VZIG)
D. Acyclovir given for 7 days, varicella vaccine, and VZIG
E. Varicella Vaccine
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Old 06-22-2011
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C.Varicella Immune Globulin.

The Vaccine is CI in pregnancy and in immunocompromise states!
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Old 06-22-2011
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Answer is D. Acyclovir, varicella vaccine and VZIG
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Old 06-23-2011
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but he is immunocompromised and vaccine is contraindicated i think
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Old 06-23-2011
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D. Acyclovir given for 7 days, varicella vaccine, and VZIG

since varicella vaccine, and VZIG given to susceptible immunocompromised children &house hold contact if possible and since there is risk development of herpes zoster after immunization we add acyclovir
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Old 06-23-2011
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Quote:
Originally Posted by kemoo View Post
but he is immunocompromised and vaccine is contraindicated i think
return to kaplan lec pedis page 60
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Old 06-28-2011
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confused again may be no vaccine in immunocompromised child


http://www.usmleforum.com/files/forum/2011/2/595138.php
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Old 06-28-2011
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Quote:
Originally Posted by miss patho View Post
D. Acyclovir given for 7 days, varicella vaccine, and VZIG

since varicella vaccine, and VZIG given to susceptible immunocompromised children &house hold contact if possible and since there is risk development of herpes zoster after immunization we add acyclovir

http://www.cdc.gov/vaccines/vpd-vac/...c-eligible.htm
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Old 06-29-2011
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Quote:
Originally Posted by Sadalssud View Post
so here in this case we should not give vaccine ??
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