Do children get chickenpox a second time? Can a child have chickenpox for the second time?

Varicella, commonly called "chickenpox" is infectious disease, caused by the Varicella Zostor virus of the herpes virus family. This infection is transmitted by airborne droplets or through household items. The source of the disease is an infected person.

In some cases, for the first few days, the carrier of the infection may not be aware that he is spreading chickenpox, because he only feels a general malaise in the body and fatigue. Loss or decreased appetite may also occur. Incubation period after infection can last from one week to three. The first signal that a person has contracted chickenpox is a characteristic rash that covers the entire body and causes itching.

There is no complete cure for the virus that causes chickenpox. It can only be drowned out. Treatment involves relieving symptoms or the severity of the disease until the immune system produces the necessary antibodies to fight the virus.

Most often, chickenpox is contracted in childhood, as the virus is extremely contagious. The disease in children under seven years of age occurs in more than mild form and much faster than in adults. Their illness progresses slowly, severely and can lead to serious complications.

Scientists have still not agreed on the possibility of reinfection with chickenpox.

Some people believe that it is impossible to get chickenpox twice. And diagnoses confirming otherwise are erroneous. Some diseases caused by the herpes virus are initially very similar to chickenpox. There are differences in the rashes of these diseases, but they can be almost invisible. The result is an error in diagnosis.
Other scientists and doctors mistake shingles for a secondary infection with chickenpox. They believe that the causative agent of these infections is the same, therefore, the disease is the same, they just manifest themselves a little differently.

So, let's take into account that there is still a possibility of getting chickenpox a second time. Who is at risk in this case and who is more likely to get secondary infection? The answer is simple.

Anyone who, for one reason or another, has a reduced immune system, namely:

people infected with HIV;
cancer patients undergoing chemotherapy; those who are experiencing severe stress;
people who have suffered serious illnesses, weakened long-term use medicines or having chronic diseases;
pregnant women;
people who donate blood regularly or who have lost a lot of blood after some incident.

Pathogen chickenpox remains in the human body for the rest of his life after the first illness.
Repeatedly, the patient becomes ill with herpes zoster, which is a type of chickenpox and is caused by the same pathogen.
Shingles is the development of an exacerbation caused by any provoking factors that lower immunity and force the “dormant” virus to “wake up”.
If the disease is repeated, then it is very difficult with possible complications.
If the characteristic rash appears during pregnancy, it may cause congenital pathologies fetus In this case, it is recommended to terminate the pregnancy in the first trimester.

Although the symptoms of the disease are more pronounced and severe the second time, the treatment is practically no different from what was used the first time.

First of all, to stabilize the patient’s condition, it is necessary to reduce the temperature with antipyretic drugs. It rises very strongly during secondary infection with chickenpox.

Itching is relieved with antihistamines and sedatives. For the treatment of chickenpox are also taken antiviral drugs. The patient should follow a diet and diet, refrain from spicy and salty foods.

Water procedures are permitted if the patient’s condition has stabilized and the temperature has decreased. The time spent in the shower should be reduced to a minimum. The use of washcloths and sponges is prohibited.

A solution of brilliant green (“zelenka”) in this case plays the role of a marker and helps to monitor the development of the disease, in particular, skin rashes.

Summarizing all of the above, we can say that most experts agree that this is possible. But it will no longer be the disease itself - chicken pox, but its close relative - herpes zoster, which is considered a reaction to an exacerbation and decrease in immunity. This is explained by the fact that the virus that causes chickenpox can settle in the human body only once. The immune system forms antibodies against this disease once and for all, muting the disease.

Protect yourself from repeated illness you can, if you worry about your health, eat right, saturate your body with all essential vitamins and minerals. Good immunity will not allow the virus to “wake up” and cause new “disorders” in the body.

Is it possible to get chickenpox again? — Doctor Komarovsky (video)

7 COMMENTS

I heard that people who had chickenpox in early childhood and in a mild form can still become infected again. I agree about the symptoms of herpes, there are very similar symptoms, but usually herpes breaks out in a specific area, and not all over the body. Even if it is possible to get sick again, I don’t think that we can somehow protect ourselves from this; after all, the virus is transmitted by airborne droplets.

Almost all people have had chickenpox in early childhood. There is an opinion that adults tolerate chickenpox much worse than children. Is this so, it is better to ask the doctors. And about re-infection with this disease, the doctors themselves cannot really say anything.

Chickenpox in adults is a very real thing today. There are many reasons why adults get this disease. The main one, in my opinion, is the deterioration environmental situation and, as a result, decreased immunity in people. Every 10th case of the disease is in adults.

Now no one can answer this question. This requires conducting fairly detailed surveys of the population and medical personnel. Chickenpox, like any other disease, can develop over time various reasons. Therefore, the question of recurrent illness is quite natural.

Yes, it is indeed possible to get chickenpox a second time, albeit in a slightly different form, and parents in whose families have many small children know this firsthand. And the way out of this situation is quite standard, you definitely need to get vaccinated against this disease and strengthen your immunity proper nutrition, vitamin complexes And normal rhythm life.

I have repeatedly heard that people who have had chickenpox can become infected again over time. In my opinion, this is due to the fact that the virus mutates and changes, so the immunity that was previously developed becomes irrelevant.

As a child, I had chickenpox at age two and four. And now I’m 34 and my daughter contracted chickenpox at school, infecting my son and, accordingly, me... I couldn’t believe my eyes when I realized that I was sick. It was terrible! And what a shock my mother was in.

To figure out whether it is possible to get chickenpox a second time if an episode of infection has already occurred in childhood, it is necessary to consider the etiology and pathogenesis of this virus.

Chickenpox is a highly contagious viral infection. Most often it affects children aged from several months to twelve years. As a result, on for many years, often for life, antibodies are produced that can fight the pathogen. However, there are cases where people get chickenpox a second time. Recurrence of chickenpox is becoming more and more common in our age.

To understand how you can become infected with chickenpox a second time, you need to understand some of the specifics of the disease itself.

Is it possible to get chickenpox a second time?

Let's consider whether it is possible to become infected again with chickenpox when you had it as a child.

Chickenpox at a young age is tolerated quite easily. In this case, there are usually no consequences. The child’s body, as a rule, experiences discomfort for some time, the temperature periodically rises, after which the body becomes covered with a rash in the form of vesicles with bubbles filled with liquid inside. After a short period, general health returns to normal and the patient recovers.

With a sharp decrease in immune defense, a recurrence of chickenpox may occur. But only adults get sick. However, according to many experts, the causative agent of the virus does not disappear completely, but remains “dormant” in the spinal tissues.

Chickenpox in adults occurs repeatedly in an aggravated form. It is difficult for the body to cope with the infection. Initially, the disease manifests itself as a sore throat, cramps, and the duration of the disease takes a long period of time, longer than usual.

During the development of chickenpox for the second time, a rash that appears on the skin indicates deep inflammation in the dermis. This also indicates that the herpes virus is at the moment completely spread throughout the body.

When infection occurs repeatedly, chickenpox can be mostly severe to moderate.

It is possible to get chickenpox a second time, but this often only happens to the older generation. Children who have already recovered from the virus still have a strong immune defense for many years.

If you happen to get chickenpox a second time as an adult, the patient experiences severe discomfort and increased fatigue. In addition to this, it is added bad dream, poor health and a noticeable rise in temperature to very high levels.

Periodically, unbearably itchy rashes appear in the form of pimples and vesicles. Do not scratch the rash if it gets into open wounds. pathogenic microorganisms, then a secondary infection with chickenpox appears, leading to serious complications. Often this bacterial diseases that require antibiotic therapy.

Chickenpox reoccurs especially severely in adolescence and old age, during periods when the immune system is weakened.

Some parents are still concerned about the question of whether it is possible to get chickenpox again in childhood. Suffice it to say that such cases are possible, although very rare. This is due to the fact that in the first milder episode of the disease, stable immunity does not have time to form.

Those who are interested in whether it is possible to become infected with chickenpox a second time should find out what ordinary statistics say about this. Despite acquired immunity in childhood, almost twenty percent of the population is subject to secondary infection. Based on this, the risk of getting chickenpox again is 1:5. This is quite a lot, but often there are always aggravating provoking factors when normal level immunity, infection does not happen twice.

The main symptoms of recurrent chickenpox:

A characteristic rash on the body;
Impotence;
Muscle, headache and joint pain;
Hyperthermia or high temperature.

In adults who get chickenpox repeatedly, the symptoms are more pronounced than in infected children. In children, the manifestation of the virus has a milder, smoothed course.

When chickenpox occurs for the second time, the incubation period already lasts at least three weeks (despite the fact that in the first version the duration of this stage is no more than a week).

Anyone who has had chickenpox a second time has to experience tremendous itching in the area where it appears. skin rashes. The vesicles themselves are larger in size compared to those that appear during primary chickenpox. After the blisters mature and fluid leaks out, unpleasantly painful open sores form in their place.

If an adult is lucky enough to get sick again, the duration of chickenpox itself will take about three weeks.

Why does chickenpox become reinfected?

The main reasons why people get chickenpox a second time include low immunity and poor body resistance to the pathogen. The weaker the body’s defenses, the slower the pimples with blisters on the body mature. Also additional factors secondary disease may act:

Oncology;
Pregnancy;
A course of chemotherapy;
Hormonal treatment;
Immunodeficiency virus;
The first time a person got sick was in early childhood, in the first year of life, the immune system was not sufficiently formed.

When a person gets chickenpox for the second time, all the signs and symptoms begin to act with triple power, and the disease proceeds with serious consequences and pathologies.

Those who have a predisposition to the chickenpox virus most often get chickenpox again if they had it in childhood. In this case, it is often we're talking about about the development of herpes zoster in a patient. During its development, severe pain and burning is observed in those areas of the skin where rashes subsequently form. The location of pimples and blisters is observed in the torso, upper and lower limbs bodies. Only adults are susceptible to this form of the disease.

If you suddenly happen to get chickenpox 2 times in your life, the second case never goes away without a trace. Since each person has his own level of body protection, the complications in each individual case are different.

Treatment

If the situation is such that a person had to get chickenpox again, with the help of certain therapy it is possible to reduce the unpleasant symptoms of the disease and speed up the healing of the body. This, in turn, helps shorten the duration of the infection.

Everyone's answer knowledgeable doctor On how to speed up the recovery process if you had to get chickenpox a second time, the following recommendations will be given:

In case of hyperthermia, it is necessary to take antipyretics based on Paracetamol; consult your doctor before using Ibuprofen;
To reduce discomfort in the area of rash, itching and pain, antiseptic treatment, use brilliant green, as well as Fukortsin solution;
When chickenpox occurs twice, antiviral medications such as Gerpevir, Acyclovir, etc. are necessarily prescribed;
Diazolin, Fenistil, Zyrtec help reduce edema;
If a secondary infection occurs, the doctor may prescribe antibiotics;
Having chickenpox 2 times without severe consequences promotes strict bed rest, drinking plenty of fluids and dietary nutrition.

Most often, people get chickenpox twice when a person doesn’t care enough about his health, and during various ailments is happening sharp decline immunity. To prevent chickenpox from developing against this background, always pay attention to your well-being, maintain your immune system, play sports, and take vitamins.

Many people are interested in the question of whether it is possible to become infected with chickenpox a second time if a person suffered from this disease in childhood.

Chickenpox is commonly called chicken pox. This disease is highly contagious and is very easily transmitted from a sick person to in a healthy way airborne transmission. This disease is considered common in childhood. It is generally accepted that in the process of transferring the disease to childhood a person develops a strong immunity to this disease. However, it is worth noting that there are some exceptions to this rule. Therefore, the question of whether people get chickenpox again is not meaningless.

For some categories of the population, the question of whether it is possible to become infected with chickenpox a second time is very relevant. In medical practice, cases of re-infection in lately began to meet often.

To study the likelihood of re-infection, you need to know what a disease such as chickenpox is and what its characteristic symptoms are.

Chickenpox - characteristics of the disease

It is difficult for an adult body to cope with an emerging infection, since a person is practically defenseless against the virus attacking him. Very often, during the development of the disease, an adult experiences the appearance of pain in the throat; in some cases, convulsions may occur, and the disease itself lasts a longer time.

Chickenpox is classified as a type of illness that is characterized by its own course and gradual subsidence.

Important! Chicken pox is a very common disease, the course of the disease is not very complicated even when infected child's body It heals quite quickly.You need to know that this disease can cause quite noticeable discomfort in a child, which is reflected in worsening general well-being and the state of the body.

One open question is how exactly the chickenpox pathogen spreads between people. Massive and rapid infection of children occurs if a sick child is in large group children in indoors. In this case, the probability of infection of all children in the group approaches 100%.

Herpesovirus, which is the causative agent of chickenpox, is highly contagious. The conditions most suitable for its rapid spread are closed premises with a large concentration of children or people, influenced viruses. In some cases, infection may occur healthy person from a patient in an open space, since the virus can spread up to 20 m from the source of infection. Under appropriate conditions, a child can become infected with chickenpox from an adult suffering from herpes zoster, since the causative agent of these ailments is one type of herpesovirus.

There is a widespread belief among doctors that after chickenpox the virus is localized in the spinal tissues in a dormant state, and when it occurs favorable conditions he is able to wake up, which can provoke re-infection with chickenpox. In addition, activation of the virus from a dormant state can provoke the development of such unpleasant disease, like shingles. Most often, you can get chickenpox again as an adult.

Development of repeated itching

A rash that occurs during the development of chickenpox in the body for the second time indicates active processes of inflammation in the vessels of the surface layer of the skin. During the incubation period for the development of the disease, the herpesovirus is transported from the site of penetration - from the epithelium respiratory system into the bloodstream and lymphatic system. Through these systems, the pathogen reaches the surface layer of the skin; in addition, through the circulatory and lymphatic systems, the pathogen penetrates into all organs.

Today, experts identify several forms and varieties of chickenpox:

- light form;
- moderate form of the disease;
- severe form;
- hidden atypical form;
- gangrenous form;
- hemorrhagic;
- generalized form.

Important! Secondarily, a person most often develops severe and moderate forms of the disease

Patients who develop these forms of the disease experience severe weakness and malaise; in addition, a person with chickenpox is susceptible to rapid fatigue. Additionally, sleep disturbance, deterioration in the overall health of the body and a significant increase in general body temperature may occur.

Is it possible to get chickenpox a second time?

Chickenpox in childhood is normal occurrence for a person. During the course of the disease, a strong immunity is formed in the body, which can persist throughout life.

The development of chickenpox is accompanied by severe rashes on the surface of the skin, the resulting rash causes severe itching. The problem is that you cannot scratch the areas affected by the rash. Damage to the resulting rash blisters can provoke the penetration of a more serious infection into the body, which will provoke the development of complications.

Chickenpox is severe in adolescents and older people.

Many parents, after their children have had chickenpox, are interested in the question of whether it is possible to become infected with chickenpox a second time. There is no clear answer to this question, but it is worth noting the fact that there are cases of re-infection.

People interested in the question of whether it is possible to get chickenpox again should familiarize themselves with the statistical data obtained by doctors recently, and they answer in the affirmative the question of whether people get chickenpox again. The fact is that, according to medical statistics, up to 20% of people who suffered from this disease in childhood are re-infected with chickenpox. In adulthood, a person suffers this illness more severely than in childhood. Particularly dangerous is chickenpox, which develops again in old age.

The main symptom of repeated chickenpox is the appearance of a characteristic rash on the skin. When chickenpox develops in an adult, symptoms such as:

- weakness;
- increased general temperature;
- painful sensations V muscle tissue and joints.

These characteristic symptoms of the disease when a person is re-infected appear more strongly than when a child is infected. In some cases, when the disease develops in a child, these symptoms may be almost invisible. The incubation period for the development of chickenpox during re-infection of the body lasts 21 days.

Under what conditions does chickenpox re-infection occur?

Those who are wondering whether chickenpox can be repeated in the body should remember that the course of the disease in an adult is more severe compared to the course of the infection in a child.

When a person is re-infected with chickenpox, severe itching occurs in the areas of the skin where the rash forms.

Despite the fact that chickenpox is a common disease in childhood, and it develops in many children, there is a high probability of recurrence of the disease in adulthood.

Does chickenpox happen again? Most doctors answer this question in the affirmative. Re-infection occurs when a person has poor immunity and weak body resistance to infection.

Most often, when chickenpox is re-infected, the disease is very severe. The blisters that form on the surface of the skin are larger in size compared to the blisters that form during primary chickenpox. The inflammatory process is more pronounced.

When the body is re-infected with the chickenpox pathogen, all signs and symptoms appear with a vengeance, and the disease itself becomes more severe.

The clinical manifestations of repeated chickenpox have significant differences. The disease is called herpes zoster. After a person has recovered from this disease, the body develops a strong immunity to the causative agent of the disease, which lasts throughout life. When examining the question of whether re-infection with chickenpox is possible, it should be noted that the recurrence of the disease is possible in people who have a certain predisposition to developing this disease.

The insidiousness of infection with herpesovirus, which causes recurrent chickenpox in adulthood

A person who is repeatedly infected with chickenpox experiences a significant deterioration in health, and in addition there is a significant decrease in appetite. The body of a sick person is exposed increased influence inflammatory process happening in the body. In this case, an increase in temperature and the appearance of blisters are observed, which fill with liquid contents in the affected areas of the skin. After ripening, the blisters rupture and small ulcers form.

Over time, the places where blisters and sores form begin to dry out. A crust forms on the surface, it comes off after a while, and normal skin forms at the site of ulceration. The duration of repeated chickenpox is 20 days. The duration and complexity of repeated chickenpox is greatly influenced by the state of a person’s immunity. The weaker the body's immune system, the more long period blisters appear and mature.

If shingles develops, the patient experiences severe pain and burning sensations in the area of subsequent blistering. A rash at the site of the burning sensation appears some time after the onset of the disease.

The location of herpes zoster is lateral surface torso, legs or arms. This disease is quite complex, and this is due to the fact that people suffer from the disease in adulthood, children are not susceptible to this disease.

Chickenpox has always been considered a childhood illness, so if a child once had chickenpox in childhood, then the question of whether it is possible to become infected with chickenpox again is not idle, especially if the illness in childhood was mild, and the likelihood that in the child’s body I did not have time to form a stable immunity to the virus, it is minimal.

Attention! Chicken pox in an adult can provoke the development serious complications, the occurrence of which is due to the fact that every adult organism has varying degrees security.

Treatment of recurrent chickenpox

It is worth noting that the body’s healing process can be significantly accelerated, and unpleasant symptoms, accompanying the development of the disease, reduce. Relieving the severity of symptoms helps to stop the disease. Very often, doctors are asked how to reduce the symptoms of the disease and which remedies are the most effective.

To alleviate the condition during the peak period of development of the disease, it is recommended to reduce body temperature, trying to keep it within normal parameters. For this purpose, you can use various antipyretics, such as Paracetamol. The use of Paracetamol is also justified from the point of view of the fact that this drug has anti-inflammatory properties.

To neutralize the pain and itching that occurs during the formation of a rash characteristic of chickenpox, you can use brilliant green on the skin rashes once a day. Fukortsin solution can be used to lubricate the rash.

When developing especially severe conditions recommended for use during medical procedures antiviral drugs that can significantly stop the development and spread of herpes virus in the body. This may be Gerpevir, available in tablets and capsules, or Acyclovir. The use of Diazolin also allows you to significantly reduce the manifestations of general symptoms and prevents the development of swelling in the body.

In addition, to speed up the healing process, it is recommended to use such drugs as Tavegil and Suprastin. These drugs have little hypnotic effect and soothe itching.

Chickenpox (or chickenpox) is known as a disease that is most common among children and is characterized by the appearance of. People who know very little about the disease are convinced that it is impossible for an infected body to develop “lifelong” immunity, which prevents.

Symptoms of the disease

Chicken pox (sometimes called smallpox") is an acute infectious disease that is characterized by the appearance of a spotted vesicular rash on skin and mucous membranes. This is one of the most common infections in childhood, much less common. Mostly children of early school age and preschool age. Before two months and after ten years, the disease is quite rare.

The causative agent of smallpox is a DNA virus that belongs to the herpesvirus family and the poxyvirus group. The infection is most commonly known as herpes virus type 3. The identity of the smallpox virus and the causative agent of herpes zoster has been established, since cross-infection and an immune response are observed.

The source of infection is infected person, – airborne. In exceptional cases, transmission through the transplacental barrier is observed, resulting in the development of late fetopathy or congenital chickenpox.

The infection penetrates into respiratory tract, then into the bloodstream, where during a it multiplies. The virus is concentrated in the outer layer of the skin and the epithelial layer of the mucous membranes.

On average, the disease lasts two to three weeks, the outcome is usually favorable. However, with intrauterine damage, acquired or congenital immunodeficiency, the disease is very severe, and internal organs are affected.

Chickenpox begins acutely, with a febrile condition (temperature 37.5 0 C to 38.5 0 C). Rashes appear on the skin of the face, body, and scalp. The rash is represented by maculopapular elements, which after some time turn into oval or round single-chamber vesicles surrounded by a hyperemic corolla. The contents of the papules are cloudy.

After about two days, the papules break through, leaving crusts behind. The crusts gradually peel off, leaving no traces behind. Typical elements often appear on the conjunctiva, larynx, and external genitalia. The rash sometimes appears first on the mucous membranes and only then on the skin. On the feet and usually absent.

Possibility of secondary infection

After recovery from chickenpox, the body develops lifelong immunity to Varicella zoster (the causative agent of smallpox), so the risk of re-infection is minimal - this is rather an exception to the rule.

Innate immunity to smallpox, as well as to other viruses, is active for six to twelve months after the birth of the child. The herpes virus is transmitted through IgM (immunoglobulin) from the mother to the fetus in utero, and then enters the breast milk. After some time, innate immunity disappears - then there is a risk of secondary infection. This occurs immediately after IgM is destroyed in the child’s body.

Acquired immunity to chickenpox is developed only after past illness. The mechanism of acquired immunity is not well understood and is complex process. Scientists have found that after an antigen enters the body, it starts immune mechanism in the form of production of specific antibodies in accordance with the incoming antigen. Thus, after reinfection, a more effective and rapid immune response develops.

A similar mechanism is observed in diseases such as measles, mumps and some others. These diseases only occur once. Re-infection, although not impossible, is very rare. The reasons for this phenomenon have not been established.

Is there a danger for children?

In children, chickenpox is not as dangerous as in adults. Secondary infection is unlikely. Most often, the so-called “recurrent” chickenpox is shingles. In other words, primary infection- this is chickenpox itself, and its relapses are already herpes zoster. Thus, the risk of re-developing chickenpox in the form of typical clinical manifestations is reduced to a minimum.

Lifelong immunity is maintained. However, the infection moves to the paravertebral sensory ganglia and acquires latent form(chronic persistence of an infectious agent).

The likelihood of further development is 10-20%, but the risk of activation increases with age. Persons over forty-five years of age account for over 80%.

Provoking factors for the reactivation of infection and the development of herpes zoster include hypothermia, prolonged exposure to the sun, ARVI, treatment with cytostatics, hormone therapy, and severe pathologies with severe immunodeficiency (blood diseases, HIV, etc.).

Unlike primary infection (chickenpox), with herpes zoster, the neurotropic properties of the pathogen come to the fore in the clinic. There are gangliotagmental, visceral, disseminated and ganglioneuralgic forms of the disease.

In some cases, doctors make mistakes when diagnosing final diagnosis. A skin rash is mistaken for smallpox, although it can be a manifestation of other herpesvirus infections that have similar symptoms.

Similar to chickenpox, can cause some intestinal infections.

How to protect yourself as an adult

The mechanism of infection is the same at any age. If an adult had chickenpox as a child, the pathogen is in the body in “sleep mode” and can be reactivated under the influence of provoking factors. In this case, the chickenpox itself will no longer exist, but manifestations of herpes zoster will appear.

This is caused by reduced immunity, infection by others viral infections. The group of risk factors is complemented by older age.

It should be noted that when infected, so-called “non-sterile” immunity is formed. This means that the body's immune defense is maintained only in the presence of a pathogen. After chickenpox, the infection remains for life spinal ganglia cranial nerves. Thus, the virus, “sleeping” inside, is the body’s protector against recurrent smallpox.

If signs resembling chickenpox appear, you should consult a doctor, as these may be manifestations of another disease.

Vaccination: to do or not

The opinion of doctors is no different from what scientists have already managed to find out during research. Secondary chickenpox is nothing more than shingles, and it happens mainly in adults who suffered from smallpox in childhood.

As for, most pediatricians are convinced that it is better for a child to have chickenpox once in his life and develop natural immunity than to do it artificially.

Regarding adults (especially women planning children), the opposite opinion has developed: this category of patients needs to be vaccinated, since in older age chickenpox is much more severe, and there is a risk of intrauterine infection of the fetus.

Note for adults

So, the following has now been established: people get chickenpox once, most often between the ages of two and ten years. After infection, the pathogen remains in the body for life and thereby protects it from the recurrence of smallpox.

However, reactivation of the virus under the influence of unfavorable factors. In this case, manifestations of herpes zoster are observed, which has a different clinical picture. Also, rashes can be mistaken for chickenpox, while they are signs of a completely different disease.