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Alfarisi, Ringgo
Departemen Fisiologi Fakultas Kedokteran Universitas Malahayati
Biochemistry, Genetics & Molecular Biology Dentistry Education Electrical & Electronics Engineering Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary Other

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Clinical Features and Therapeutic Approach of Varicella Zoster in a Pediatric Patient at Way Laga Health Center, Bandar Lampung, Indonesia Alfarisi, Ringgo; Aisyah, Tri Aprilia; Balqis, Tri Marezha; Zulfadlia, Tria; Azzahra, Syifa Syahirah; Saputri, Syerli
Biomedical Research and Theory Letters Vol. 1 No. 1 (2025): Biomedical Research and Theory Letters
Publisher : CV. FOUNDAE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58524/brtl.v1i1.61

Abstract

Varicella, or chickenpox, is an acute infectious disease caused by the Varicella-Zoster Virus (VZV), a DNA virus of the Herpesviridae family. Despite being generally self-limiting in children, varicella remains a major public health concern due to its high transmissibility and potential complications in vulnerable populations. In Indonesia, the incidence of varicella has increased in recent years, particularly among school-aged children, reflecting gaps in vaccination coverage and heightened community mobility following the COVID-19 pandemic. This research presents the clinical features and therapeutic approach of a pediatric patient with varicella treated at Way Laga Health Center, Bandar Lampung. A 6-year and 11-month-old boy developed fluid-filled lesions that initially appeared on the trunk and subsequently spread to the face, arms, and legs within two days, accompanied by pruritus and mild fever. The patient had no comorbidities or allergies, but a clear history of close contact with a classmate diagnosed with chickenpox was identified as the primary source of infection. Physical examination revealed multiple lesions at different stages of development without secondary bacterial infection, while vital signs remained stable. Therapeutic management included acyclovir, cetirizine syrup, paracetamol, and salicylic powder, combined with non-pharmacological interventions such as hygiene education, avoidance of scratching, adequate hydration, and temporary isolation to prevent transmission. Family-focused counseling emphasized the importance of monitoring for complications and maintaining supportive care. The patient responded favorably, with resolution of fever, reduction of pruritus, and crusting of lesions within one week. This study highlights the critical role of primary health centers in the early identification and management of varicella in pediatric populations. The novelty of this research lies in demonstrating how structured holistic diagnostics, timely antiviral therapy, and standardized family education can effectively reduce symptom burden, prevent complications, and limit community transmission. Such documentation provides valuable insights for strengthening clinical practice and public health preparedness in regions with uneven vaccine coverage.
Co-Authors .Fitriyaturrohmah, Fitriyaturrohmah Ade Utia Detty Adlina, Dina Ageel Al-Aziz Marjaen Ahmad Yunus Feryaldi Aisyah, Tri Aprilia Ajeng Febiyola Amelya, Arta Amizora, Dayu Andayani, Heny Tri Andi Adam Firdaus Anggunan Anggunan Arani, Devi Arief Effendi Arti Febriyani Hutasuhut Astri Pinilih Aswedi Putra Audrieas, Aina Azzahra, Syifa Syahirah Balqis, Tri Marezha Bambang Kurniawan Buldani, Aang Carolina, Wina Cindy Tiara Dalfian, Dalfian Dewi Lutfianawati, Dewi Diksa, Putri Amsa Tiara Dininta, Gilang Fitra Dito, Muhammad Farhan Dyah aulia Pratiwi Dzikra, Farhan Adz Edho Nugroho Eka Nurwidyasari Eka Silvia Eksa, Dwi Robbiardy Fahrurozi, Fahrurozi Faric, Achmad Farich, Achmad Fatah Satya Wibawa Fatresia, Wanda Festy Ladyani Mustofa Fitri Chintiyani Fitriani, Dita Hadiarto, Rinto Haerullah, Diar Muhamad Haerulloh, Diar Muhamad Hamda, Chania Nahdlatul Hermawan, Dessy Hermawati, Diana Hidayat Hidayat Hidayat Hidayat Ika Artini Irna Anggraeni Itsna Annisa Joan Willy Joan Willy Jordy Oktobiannobel Kurniati, Mala Kustiwa, Dea Rahma Lestari, Sri Maria Puji Liana, Dwi Febi Mafiroh, Devi Alfi Marisa Anggraini Megarahayu, Soelastika Meylany, Adella Safita Mihardja, Laurentia Konadi Mizar Eranto Mizar Erianto Mizar Erianto Mizar Eriantono Muhamad Yunus Muhammad Alva Rizqy Muhammad Fikri Mustaghfirin Muhammad Yunus Nabila Permatasari Nia Triswanti Nopi Sani Nopi Sani Novaliana, Chintia Nucky Nurhikmah Rahman Nurfitri, Ade Clara nurmalasari, yesi Oktarina, Silvia Hakiki Padisha, Afnan Naufal Prambudi Rukmono Pratama, Sigit Prayoga Perdana Purwaningrum, Ratna Putri Nur Oktavia Jauhari Putri, Asri Mutiara Putri, Puput Ayu Ramdhani, Dita Nurul Regi Indra Permana Reni Setiawati, Octa Reno Reno Resti Arania Rina Kirwiastiny Rusmini, Hetti Safyira, Cut Lailan Sailurrahmah Al Haq Taufiq Saputra, Muhamad Nicolas Saputri, Syerli Selvia Anggraeni, Selvia Septi Auliza Refolinda Septiana Damayanti Shariff, Fonda Octarianingsih Siti Afta Maharani Siti Rifdah Rihadah Soemarwoto, Retno Ariza Soeprihatini Sri Maria Puji Lestari Sri Maria Puji Lestari Syarif Hidayatulloh Malik Syawalia Kartika Syifa Nabilla Tan'im Tan'im Teddy, Teddy Tri Wibowo Julianto Triana, Muhamad Afgan Triana, Muhammad Afgan Tusy Triwahyuni Upik Pebriyani Vira Sandayanti Wahyu Karhiwikarta Wahyu Wijaya Wanda Fatresia Wenikasari, Anggun Wisnu Galih Prayoga Woro Pramesti Wulandari, Mardheni Yuniastini Yuniastini Yunita Sari Tanjung Zulfadlia, Tria