{"id":2140,"date":"2022-08-04T17:03:44","date_gmt":"2022-08-04T05:03:44","guid":{"rendered":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/?page_id=2140"},"modified":"2022-08-04T17:03:45","modified_gmt":"2022-08-04T05:03:45","slug":"shingles","status":"publish","type":"page","link":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/shingles\/","title":{"rendered":"Shingles"},"content":{"rendered":"\n<p><strong>Infection:<\/strong> Shingles; zoster; herpes zoster; varicella zoster virus (VZV) reactivation<\/p>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Brief description:<\/summary><div class=\"ab-accordion-text\">\n<p>Caused by reactivation of VZV (same virus as chicken pox), with characteristic painful rash in a dermatomal pattern.<\/p>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Did you know?<\/summary><div class=\"ab-accordion-text\">\n<p>Vaccination is funded in NZ in those aged 65 years. This is regardless of whether they recall a history of chicken pox, and serology to check is not recommended.<\/p>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Who should I test?<\/summary><div class=\"ab-accordion-text\">\n<ul><li>Laboratory testing is <strong>not usually required<\/strong>. The diagnosis is made <strong>clinically<\/strong> in the vast majority of people due to the characteristic nature of the rash.<\/li><li>Laboratory testing is reserved for <strong>atypical cases<\/strong> where there is diagnostic uncertainty.<\/li><li>We recommend <strong>HIV testing<\/strong> in people with <strong>recurrent<\/strong> or <strong>atypical presentations<\/strong> of shingles, including shingles occurring in <strong>young people<\/strong>.<\/li><\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Test of choice:<\/summary><div class=\"ab-accordion-text\">\n<p>Request <strong><a href=\"https:\/\/scg.aphg.co.nz\/#!\/WEL\/details\/VZV\">VZV PCR<\/a><\/strong><\/p>\n\n\n\n<p><strong>Viral swab of rash for VZV PCR <\/strong>(need to obtain fluid or cellular material on swab)<\/p>\n\n\n\n<ul><li>Good<strong> sensitivity &#8211; <\/strong>a <strong>negative<\/strong> result on an<strong> adequately collected sample <\/strong>makes<strong> <\/strong>the diagnosis <strong>very<\/strong> <strong>unlikely<\/strong><\/li><li>Excellent<strong> specificity &#8211; <\/strong>a <strong>positive<\/strong> result <strong>confirms<\/strong> the diagnosis<\/li><\/ul>\n\n\n\n<p><em>Note: swabs run for VZV PCR in our laboratory are <strong>run for HSV PCR in parallel<\/strong>, as these viruses can mimic each other.<\/em><\/p>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Tests to avoid\/specialist tests:<\/summary><div class=\"ab-accordion-text\">\n<p><strong><a href=\"https:\/\/scg.aphg.co.nz\/#!\/WEL\/details\/VZA\">Serology<\/a><\/strong><\/p>\n\n\n\n<p>This has <strong>no role<\/strong> in the diagnosis of shingles due to the fact shingles is caused by reactivation of a virus already present in the body.<\/p>\n<\/div><\/details><\/div>\n","protected":false},"excerpt":{"rendered":"Infection: Shingles; zoster; herpes zoster; varicella zoster virus (VZV) reactivation","protected":false},"author":18,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Shingles &#8212; 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