Pathology · single question

Shingles (herpes zoster) is caused by reactivation of:

  1. Epstein-Barr virus
  2. Herpes simplex virus type 2
  3. Varicella-zoster virus
  4. Herpes simplex virus type 1
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Correct answer: C. Varicella-zoster virus

  • A. EBV reactivation is associated with infectious mononucleosis — not shingles.
  • B. HSV-2 primarily causes genital herpes — not shingles.
  • C. Correct. Herpes zoster (shingles) is caused by reactivation of the varicella-zoster virus (VZV), which lies dormant in sensory ganglia after primary infection (chickenpox). Reactivation causes a dermatomal rash with severe pain.
  • D. HSV-1 reactivation causes recurrent oral herpes (herpes labialis) — not shingles.

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