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Backtrace:
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 173
Function: _ci_load_library
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 65
Function: initialize
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
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Function: __construct
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Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Controller.php
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Function: require
File: /home3/pariszim/public_html/application/third_party/MX/Modules.php
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Function: include_once
File: /home3/pariszim/public_html/application/modules/Home/controllers/Home.php
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Function: spl_autoload_call
File: /home3/pariszim/public_html/index.php
Line: 292
Function: require_once
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Backtrace:
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 173
Function: _ci_load_library
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 65
Function: initialize
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 55
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 60
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Controller.php
Line: 4
Function: require
File: /home3/pariszim/public_html/application/third_party/MX/Modules.php
Line: 123
Function: include_once
File: /home3/pariszim/public_html/application/modules/Home/controllers/Home.php
Line: 4
Function: spl_autoload_call
File: /home3/pariszim/public_html/index.php
Line: 292
Function: require_once
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Severity: Warning
Message: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time
Filename: Session/Session.php
Line Number: 303
Backtrace:
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 173
Function: _ci_load_library
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 65
Function: initialize
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 55
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 60
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Controller.php
Line: 4
Function: require
File: /home3/pariszim/public_html/application/third_party/MX/Modules.php
Line: 123
Function: include_once
File: /home3/pariszim/public_html/application/modules/Home/controllers/Home.php
Line: 4
Function: spl_autoload_call
File: /home3/pariszim/public_html/index.php
Line: 292
Function: require_once
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Severity: Warning
Message: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time
Filename: Session/Session.php
Line Number: 313
Backtrace:
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 173
Function: _ci_load_library
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 65
Function: initialize
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 55
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 60
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Controller.php
Line: 4
Function: require
File: /home3/pariszim/public_html/application/third_party/MX/Modules.php
Line: 123
Function: include_once
File: /home3/pariszim/public_html/application/modules/Home/controllers/Home.php
Line: 4
Function: spl_autoload_call
File: /home3/pariszim/public_html/index.php
Line: 292
Function: require_once
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Severity: Warning
Message: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time
Filename: Session/Session.php
Line Number: 314
Backtrace:
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 173
Function: _ci_load_library
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 65
Function: initialize
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 55
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 60
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Controller.php
Line: 4
Function: require
File: /home3/pariszim/public_html/application/third_party/MX/Modules.php
Line: 123
Function: include_once
File: /home3/pariszim/public_html/application/modules/Home/controllers/Home.php
Line: 4
Function: spl_autoload_call
File: /home3/pariszim/public_html/index.php
Line: 292
Function: require_once
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Severity: Warning
Message: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time
Filename: Session/Session.php
Line Number: 315
Backtrace:
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 173
Function: _ci_load_library
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 65
Function: initialize
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 55
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 60
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Controller.php
Line: 4
Function: require
File: /home3/pariszim/public_html/application/third_party/MX/Modules.php
Line: 123
Function: include_once
File: /home3/pariszim/public_html/application/modules/Home/controllers/Home.php
Line: 4
Function: spl_autoload_call
File: /home3/pariszim/public_html/index.php
Line: 292
Function: require_once
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Severity: Warning
Message: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time
Filename: Session/Session.php
Line Number: 316
Backtrace:
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 173
Function: _ci_load_library
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 65
Function: initialize
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 55
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 60
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Controller.php
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Function: require
File: /home3/pariszim/public_html/application/third_party/MX/Modules.php
Line: 123
Function: include_once
File: /home3/pariszim/public_html/application/modules/Home/controllers/Home.php
Line: 4
Function: spl_autoload_call
File: /home3/pariszim/public_html/index.php
Line: 292
Function: require_once
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Filename: Session/Session.php
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Backtrace:
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 173
Function: _ci_load_library
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 65
Function: initialize
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 55
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 60
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Controller.php
Line: 4
Function: require
File: /home3/pariszim/public_html/application/third_party/MX/Modules.php
Line: 123
Function: include_once
File: /home3/pariszim/public_html/application/modules/Home/controllers/Home.php
Line: 4
Function: spl_autoload_call
File: /home3/pariszim/public_html/index.php
Line: 292
Function: require_once
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Filename: Session/Session.php
Line Number: 140
Backtrace:
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 173
Function: _ci_load_library
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 65
Function: initialize
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 55
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 60
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Controller.php
Line: 4
Function: require
File: /home3/pariszim/public_html/application/third_party/MX/Modules.php
Line: 123
Function: include_once
File: /home3/pariszim/public_html/application/modules/Home/controllers/Home.php
Line: 4
Function: spl_autoload_call
File: /home3/pariszim/public_html/index.php
Line: 292
Function: require_once
Herpes Zoster (HZ)
HZ occurs due to reactivation of latent Varicella Zoster Virus in the dorsal root of ganglion following an attack of varicella. Many triggers have been suggested, including old age, physical stress, pressure on nerve roots by surgery, radiotherapy, immune suppression, etc.
Symptoms:
HZ begins with a prodrome of tingling, hyperesthesia, and severe pain localized to one or more dermatome.
The eruption of unilateral painful grouped vesicles on an erythematous base in a dermatomal pattern with midline demarcation occurs.
Two or more contiguous dermatomes may be involved, common being thoracic, cervical, trigeminal, and lumbar.
The lesions begin as macules and papules and evolve into vesicles, bullae, and pustules.
They eventually dry and form a crust in 7-10 days. The crusts disappear in 2-3 weeks.
Herpes zoster ophthalmicus: The lesions are seen in the distribution of the ophthalmic branch of the trigeminal nerve on the forehead with midline demarcation, from the level of the eye to the scalp.
Herpes zoster oticus: The lesions involve external auditory meatus, tympanic membrane, tonsillar fossa, and soft palate. Facial palsy with or without tinnitus, vertigo, and deafness can occur.
Postherpetic neuralgia: Postherpetic neuralgia (PHN) is the persistence or recurrence of pain for more than 120 days. It can be allodynia, constant burning pain, or intermittent shooting pain.
Complications:
Disseminated infection, secondary bacterial infection, scarring
Ocular: Conjunctivitis, scleritis, episcleritis, keratitis
Neurological: Postherpetic neuralgia, peripheral neuropathy, cranial nerve palsies
Systemic: Pneumonitis, hepatitis, myocarditis, and arthritis.
Treatment:
General measures include hygiene and avoiding contact with persons susceptible to develop varicella.
Mild cases can be managed symptomatically with antihistamines, analgesics, and calamine lotion.
An antiviral is indicated for severe infections, facial HZ, and in immunocompromised individuals.