Shingles is an infection caused by the varicella zoster virus (VZV), a herpes virus. The infection typically causes a painful red rash. This is the same virus that causes chicken pox, and may become active again later in life in persons who have previously had chickenpox. Symptoms of shingles could include tingling, blistering of the skin, itching, fever, and headache. A rash on only one side of the body is characteristic. This condition occurs more commonly in older adults, as well as persons with weakened immune systems. Decreased immunity to infections due to aging may be a contributing factor. Although shingles is not contagious, the virus may be transmitted to persons who have not previously been infected, and could cause chickenpox in the exposed individuals.
Treatment may consist of antiviral drugs, anti-inflammatory medications, and pain relievers. Oral antivirals, such as acyclovir (Zovirax), valacyclovir (Valtrex), and famcicolvir (Famvir), may be prescribed to help decrease the duration and severity of symptoms. A corticosteroid, such as prednisone, may be prescribed to decrease inflammation. A herpes zoster vaccine (Zostavax) is available for prevention of shingles. It is recommended that persons over 60 receive the Zostavax vaccine.
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