PIAC Case Series
Case 07 - Megan, 22 Years Old
Megan is a 22 y/o with ALL, fever and vesicular rash. A lesion is unroofed and base is swabbed. PCR for VZV is + establishing the diagnosis of disseminated varicella-zoster infection.
What isolation precautions are indicated?
This is one of a few situations where we need to utilize 2 of the transmission-based isolation precautions as varicella or disseminated zoster can be spread by both airborne and direct contact routes.
AIRBORNE + CONTACT
Only a few pathogens require use of AIRBORNE precautions:
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- Varicella/disseminated zoster (note - dermatomal zoster - no isolation generally needed as lesions can be covered and amount of virus present is magnitudes lower
- Pulmonary tuberculosis
- Certain types of influenza/other viral respiratory infection such as SARS