Q:

A primiparous woman with no previous infection with herpes zoster is 18wk pregnant. She had recent contact with a young 21 year old patient having widespread chicken pox. What is the most suitable management for the pregnant lady?

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A primiparous woman with no previous infection with herpes zoster is 18wk

pregnant. She had recent contact with a young 21 year old patient having

widespread chicken pox. What is the most suitable management for the pregnant

lady?


  1. Acyclovir PO
  2. Acyclovir IV +IVIG
  3. Acyclovir IV
  4. Reassure
  5. IVIG

All Answers

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The key is E. IVIG. [If the pregnant woman is not immune to VZV and she has had a significant

exposure, she should be offered varicella-zoster immunoglobulin (VZIG) as soon as possible. VZIG is

effective when given up to 10 days after contact (in the case of continuous exposures, this is defined as

10 days from the appearance of the rash in the index case). RCOG guideline].

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