Generalized vesicular rash in a child: a case of chickenpox (Varicella): a rare clinical image

Shardul Timande, Bibin Kurian

PAMJ. 2025; 52:169. Published 18 Dec 2025 | doi:10.11604/pamj.2025.52.169.49768

A 10-year-old male child presented with a generalized vesicular rash for 4 days, associated with fever, itching, and malaise. There was no history of recent vaccination or contact with a known case of varicella. On examination, the child had multiple lesions in various stages of evolution macules, papules, vesicles, pustules, and crusts distributed over the face, trunk, and extremities, with a characteristic “dew drop on rose petal” appearance. No neurological or respiratory complications were noted. The patient was managed conservatively with antipyretics, calamine lotion, oral antihistamines, and adequate hydration. Acyclovir was not indicated as the illness was mild and the child was immunocompetent. The lesions healed with no scarring after 10 days.
Corresponding author
Shardul Timande, Department of Child Health Nursing, Smt Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Higher education and research, Wardha, Maharashtra, India (shardul.timande11@gmail.com)

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