Trigeminal Herpes Zoster: Case Report

Authors

  • Marcos André Killner DDS, Private Practice Universidade Tuiuti do Paraná, 82010-330 Curitiba - PR, Brasil
  • Fernanda Noguez Sum DDS, Master Student of Stomatology Pontifícia Universidade Católica do Paraná, 80215-901 Curitiba – PR, Brazil
  • Rafaela Savio Melzer DDS, Master Student of Stomatology Pontifícia Universidade Católica do Paraná, 80215-901 Curitiba – PR, Brazil
  • Cintia Mussi Milani DDS, PhD, Professor of Oral Surgery and Stomatology Universidade Tuiuti do Paraná, 82010-330 Curitiba - PR, Brasil https://orcid.org/0000-0002-8101-2067

DOI:

https://doi.org/10.21270/archi.v10i9.5101

Keywords:

Herpes Zoster, Trigeminal Nerve, Exanthema

Abstract

Herpes Zoster is an acute, self-limiting, viral infection caused by the reactivation of the Varicella Zoster Virus (VZV) that remains latent in the dorsal root ganglion. It commonly affects the older people and immunocompromised individuals. Diabetes patients present an increased risk for Herpes Zoster due to their impaired cell-mediated immunity.  Clinically it manifests with tingling, pruritus and painful vesicular eruptions along the affected nerve. The most commonly affected dermatomes are the thoracic and lumbar; trigeminal nerve can be involved and the ophtalmic nerve is the mostly affected. The diagnosis is based on clinical examination and laboratory confirmation. Treatment consists of antiviral therapy and is indicated to reduce acute pain symptoms, limit the spread and duration of the lesions, and prevent complications. The objective of the present study was to present a case report of Herpes Zoster involving the first and second division of the trigeminal nerve, in a 55 year old, male, diabetes patient.

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References

Shah S, Singaraju S, Einstein A, Sharma A. Herpes zoster: A clinicocyto pathological insight. J Oral Maxillofac Pathol 2016; 20(3): 547-48.

Kaur R, Rani P, Malhotra D, Kaur R, Dass PK. A rare case report and appraisal of the literature on spontaneous tooth exfoliation associated with trigeminal herpes zoster. Oral Maxillofac Surg, 2016;20(3):331-36.

Bhandage S., Kurki M., Hosur V., Sukhija P., Bajoria A. A little-known relationship between immune recovery syndrome and herpes zoster. J Korean Assoc Oral Maxillofac Surg 2016; 42(3):169-72.

Brooks JK, Rostami AM, McCorckle D, Benesh SI. Trigeminal herpes zoster and Ramsay Hunt syndrome in an elderly adult: Presentation with prodromal toothache. Gerodontology. 2018; 35:276-78.

Steiner I, Benninger F. Manifestations of herpes virus infections in the nervous system. Neurol Clin. 2018;36:725-38

Francis M, Subramanian K, Sankarp SL, Potluri VLA, Prabakaran A. Herpes zoster with post herpetic neuralgia involving the right maxillary branch of trigeminal nerve: a case report and review of literature. J Clin Diagn Res. 2017; 11(1):ZD40-42.

Lee HL, Yeo M, Choi GH, Lee JY, Kim JS, Shin DI et al. Clinical characteristics of headache or facial pain prior to the development of acute herpes zoster of the head. Clin. Neurol. Neurosurg. 2017;152:90-4.

Cohen JI. Herpes zoster. N Engl J Med 2013; 369(3):255-63.

Christoforou J. Neuropathic orofacial pain. Dent Clin N Am 2018; 62:565-84

Tsau PW , Liao MF, Hsu JJ, Hsu HC, Peng CH, Lin YC et al. Clinical Presentations and Outcome Studies of Cranial Nerve Involvement in Herpes Zoster Infection: A Retrospective Single-Center Analysis. J. Clin. Med. 2020; 9:946

Ganesan V, Bandyopadhyay D, Kar SS, Choudhry C, Choudhary V. Herpes zoster infection involving mandibular Division of trigeminal nerve and ramsay hunt syndrome with meningitis in na immunocompetent patient: a rare association. J Clin. Diagn. Res. 2016; 10(6):5-7.

Suaya JA, Chen S, Li Q, Burstin SJ, Levin MJ. Incidence of herpes zoster and persistent post zoster pain in adults with or without diabetes in the United States. Open Forum Infect Dis. 2014;1(2):1-11.

Aldaz P, Díaz JA, Loayssa JR, Dronda MJ, Osacáriz M, Castilla J. Herpes zoster incidence in diabetic patients. An Sist Sanit Navar. 2013; 36(1):57-62.

Chen HH, Lin IC, Chen HJ, Yeh SY, Kao H. Association of herpes zoster type 1 diabetes mellitus. Plos One. 2016;11(5):155-75

Miura T, Yamamoto T. Post-herpes zoster sarcoidosis. J Dermatol. 2014;41:458-59.

Yamauchi K, Oiso N, Iwanaga T, Tatsumi Y, Matsumura I, Thoda Y et al. Post-herpes zoster sarcoidosis as a recurrence. J Dermatol 2018;45(6)1-2

Mendieta C, Miranda J, Brunet LI, Gargallo J, Berlini L. Alveolar bone necrosis and tooth exfoliation following herpes zoster infection: a review of the literature and case report. J Periodontol. 2005:76(1):148-53.

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Published

2021-07-18

How to Cite

Killner, M. A., Sum, F. N., Melzer, R. S., & Milani, C. M. (2021). Trigeminal Herpes Zoster: Case Report. ARCHIVES OF HEALTH INVESTIGATION, 10(9), 1378–1381. https://doi.org/10.21270/archi.v10i9.5101

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Original Articles