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Herpes Zoster Accompanying Odontogenic Inflammation: A Case Report with Literature Review

Journal of Oral Medicine and Pain 2021년 46권 1호 p.9 ~ 13
이소연, 김민식, 허종기, 김재영,
소속 상세정보
이소연 ( Lee So-Yeon ) - Yonsei University College of Dentistry Gangnam Severance Hospital Department of Oral and Maxillofacial Surgery
김민식 ( Kim Min-Sik ) - Yonsei University College of Dentistry Gangnam Severance Hospital Department of Oral and Maxillofacial Surgery
허종기 ( Huh Jong-Ki ) - Yonsei University College of Dentistry Gangnam Severance Hospital Department of Oral and Maxillofacial Surgery
김재영 ( Kim Jae-Young ) - Yonsei University College of Dentistry Gangnam Severance Hospital Department of Oral and Maxillofacial Surgery

Abstract


Herpes zoster is caused by reactivation and multiplication of a latent varicella-zoster virus infection. Reactivation can frequently occur in older adults and immunosuppressed individuals. It is hypothesized that this is related to an aging society and a corresponding increase in the number of people with underlying chronic diseases, such as cancer and diabetes, that lower immunity. Clinically, the patient complains of pain, and a vesicular rash presents on one side of the face up to the midline in the dermatomes associated with the affected ganglion. Herpes zoster of the oral mucosa is rare. When oral lesions do occur, they are most often concurrent with pathognomonic unilateral linear vesicular skin lesions, facilitating both clinical diagnosis and management of the condition. Cases limited to the oral mucous membrane alone are most unusual. Treatment includes antiviral agents and analgesics for pain control. Antivirals should be administered within 72 hours of onset. Early diagnosis and treatment are important to avoid complications, such as postherpetic neuralgia. The present case report describes the adequate management of a patient diagnosed with shingles which affected the right side of the face and oral cavity. In addition, a literature review is presented.

키워드

Chikenpox; DNA virus infections; Herpes zoster; Inflammation

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