The cutaneous vesicles that arise during varicella are usually pruritic; scratching is common and may contribute to aerosolizing VZV with subsequent spread to others. Shedding of squames, however, is sufficiently common and profuse that even if scratching is prevented, VZV may still aerosolize from the skin and transmit disease. Scratching, however, may promote super infection with bacteria such as streptococci and staphylococci. As a result, bacterial cellulities, pneumonia, and/or sepsis, requiring hospitalization and intravenous antimicrobial therapy, are complications of Varicella two forms of central nervous system (CNS) complications may occur in Varicella. One is the usually self-limited cerebellar ataxia (1 in 4,000 cases); the other
