The chickenpox virus and its differences from the herpes virus and enterovirus infection

Although chickenpox is a common illness, particularly in children, it is sometimes misdiagnosed as other viral infections. Although the chickenpox virus is well-known, not everyone is aware of how it varies from other viruses that are similar, such as the herpes virus and enterovirus infection.

Although these viruses may exhibit similar symptoms, each virus affects the body differently. For instance, fever and an itchy rash are common symptoms of chickenpox, whereas cold sores or genital sores can result from the herpes virus, depending on the type. Although they frequently cause additional symptoms like respiratory problems or hand, foot, and mouth disease, enterovirus infections can also cause rashes.

Parents who are aware of these distinctions may be better able to identify their issues and choose the appropriate course of action for treatment. Let’s examine the characteristics that differentiate these viruses and how to identify them.

Aspect Chickenpox Virus Herpes Virus Enterovirus Infection
Causes Varicella-zoster virus Herpes simplex virus Enteroviruses
Main Symptoms Itchy red spots, blisters Painful sores, blisters Fever, rash, respiratory issues
Transmission Airborne droplets, contact with blisters Direct contact with sores, bodily fluids Contact with contaminated surfaces, respiratory droplets
Incubation Period 10-21 days 2-12 days 3-7 days
Complications Shingles, pneumonia Cold sores, genital sores Meningitis, myocarditis
Prevention Vaccination Avoiding contact with infected individuals Good hygiene, avoiding contact with infected individuals

Chickenpox and herpes viruses – the same thing or not

Adult and pediatric cases of chickenpox are caused by the Varicella Zoster virus. Confusion sometimes results from the fact that this virus causes "shingles" in adults. It is actually a totally different virus that causes herpes on the lips or genitalia. There are two types of the virus, known as Herpes simplex or the Herpes Simplex virus. The Varicella Zoster virus is a type 3 herpes virus at the same time.

But since the varicella zoster virus and the herpes simplex virus are both members of a sizable family of herpes viruses, all of these viruses can be referred to as "relatives."

It turns out that the virus that causes herpes on the lips or genitalia resembles the chickenpox virus in structure, but it is an entirely different pathogen.

There are several similarities between the varicella pox pathogen and the herpes simplex virus:

  • They are DNA-containing viruses, in the structure of which the core and capsid (a shell consisting of capsomeres) are distinguished.
  • The Herpes simplex virus enters the human body in the same ways as the chickenpox pathogen – mainly airborne and contact.
  • When entering the body of a vulnerable person, all herpes viruses attack the mucous membranes and skin, and then penetrate the nervous tissue, remaining in the body for many years.
  • Antiviral drugs that are effective against Herpes simplex also inhibit the Varicella Zoster virus, so they are used in severe cases of chickenpox.
  • Both types of viruses can affect the development of the fetus, causing serious pathologies and miscarriage.

Regarding the characteristics that set the chickenpox pathogen apart, even though they belong to the same family, the herpes zoster and chickenpox viruses cause an acute infection that results in a strong immunity. In addition, immunity to the Herpes simplex virus does not develop, and the infection is chronic.

How long does it live in the human body and beyond

The chickenpox virus enters the body once and stays there for the duration of a person’s life. It resides in the nervous tissue in an inactive state and causes the shingles to appear in 10–20% of adults over 45.

In addition, the varicella zoster virus has very little resistance outside of the human body. Temperature fluctuations, disinfectant solutions, and the sun’s rays all contribute to its devastation both indoors and outdoors. The causative agent of chickenpox can therefore only be outside for ten to fifteen minutes at a time. For this reason, there are very few instances of this kind of infection spreading through objects or other people.

The chickenpox virus can also travel tens of meters from a sick person carrying mucus particles due to its high volatility. For this reason, even people from different groups can contract chickenpox from neighbors living in the same apartment complex or kindergarteners.

It just takes five to ten minutes for a sick child to infect a healthy child in the same room. This time frame is especially important for children whose immune systems are compromised.

You can identify and treat enterovirus infections, herpes, and chickenpox more skillfully if you know the differences between them. Herpes and chickenpox are similar viruses, but they cause different conditions and call for different treatment strategies. In contrast to herpes viruses, which frequently cause recurrent infections in adults, chickenpox usually affects children.

Conversely, enterovirus infections impact the respiratory and digestive systems, and their symptoms are distinct from those of viral skin infections such as herpes and chickenpox. Understanding the salient features of every virus aids in accurate diagnosis and treatment, resulting in improved health outcomes for your family.

Although it belongs to the herpesvirus family and is contagious, chickenpox differs from enterovirus and common herpesvirus infections. While the main symptoms of chickenpox are fever and a blister-like rash, herpes usually manifests as painful sores, and enteroviruses frequently cause hand, foot, and mouth disease or symptoms similar to the common cold. Recognizing these differences aids in the effective diagnosis and treatment of infections because different viruses have different effects on the body and spread in different ways.

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Olga Sokolova

Experienced pediatrician and consultant on children's health. Interested in modern approaches to strengthening the immune system, proper nutrition and child care. I write to make life easier for moms and dads by giving proven medical advice.

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