CPeople with chickenpox often gain lifelong immunity after one infection. In most cases, chickenpox's natural immunity provides significant protection against reinfection. However, patients with a second reinfection have been encountered periodically. Neither population-based nor individual data are available on the frequency of reported second Varicella infections among Indians. The possibility of third-time reinfection is very rare, even in reputed literature. Here, we discuss a 68-year-old patient with four reinfections of chickenpox. Two reputed dermatologists confirmed his infection, and he recovered fully with Acyclovir and bed rest. The primary objective of this case report is to highlight the risk of chickenpox reinfections and reinfections occurring more than two times.

Background: Acute diarrheal diseases remain a leading cause of global morbidity and mortality in young children. The effective implementation of provision of zinc in addition to low osmolarity ORS remains very poor.Methods: A prospective observational study was done to determine compliance with zinc therapy on 103 children aged between two months to five years with acute gastroenteritis. They were started on WHO ORS and zinc in the form of syrup (20 mg/day in those >6 months of age and 10mg/day in those <6 months of age) and advised to continue for 14 days. Further episodes of diarrhea was considered as the primary outcome variable. Number of days zinc taken was considered as the primary explanatory variable. p-value <0.05 was considered statistically significant.Results: The mean age was 19.49±14.41 months. The compliance to complete 14-day zinc therapy was 62.14%.  The mean number of days zinc was taken was 11.28±3.81 days. In 11.65% of participants, there was further episodes of diarrhea. The main reasons for discontinuation were diarrhea stopped (45%), Ignorance (37.5%), URI (12.5%).Conclusions: Findings indicate that the syrup formulation is acceptable, but further efforts are required to enhance adherence. These findings also highlight the importance of guiding in ensuring adherence to zinc duration while also addressing the tendency of caregivers to terminate treatment once a child appears to have recovered from an acute diarrheal episode.