Herpes Zoster in Diverse Situations: A Review

Olabode, Olatunde Peter; Sebastine, Oiwoh; Akinboro, Adeolu Oladayo

doi:10.4236/ijcm.2018.99060

Cited by 4 publications

(5 citation statements)

References 83 publications

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“…The rapid response of the patient to biopentin without antiviral medication may have confirmed our impression. Other studies in agreement with this current report, have shown that tricyclic antidepressants and gabapentin either as a single agent or in combination are effective in treating post-ww.njdres.com herpetic neuralgia by reducing the severity and duration of the pain 9,10 The diagnostic dilemma of this case was not only a result of the peculiarities stated above but also the rarity of the involvement of the mandibular branch of the trigeminal nerve in herpes zoster infection as confirmed by the lack of publication of case reports on herpes zoster mandibularis from Nigeria. The negative impact of this condition on the quality of life and the susceptibility of the patient to substance/drug abuse is enough reason to advocate a routine vaccination scheme against VZV in Africa like in other developed nations 14 .…”

Section: Discussionsupporting

confidence: 90%

“…There is general paucity of data on Herpes zoster affecting the mandibular nerve. Authors are not aware of any clinical case report on herpes zoster mandibularis from Africa in the English literature 10,11 . Reactivation of the VZV, in this case, maybe due to advancing age and impaired immunity due to Diabetes Mellitus.…”

Section: Discussionmentioning

confidence: 99%

“…In a recent study, Olabode et al 10 did an extensive literature review that examined the risk factors of herpes zoster and discussed different situations of its presentation with the illustration of cases involving the cervical nerve, thoracic nerve, and ophthalmic division of trigeminal nerve. Their study also discussed postherpetic neuralgia, other complications, treatment, and the future research trend of herpes zoster 10 . None of these previous Nigerian studies reported any case of herpes zoster specifically involving the mandibular division of the trigeminal nerve.…”

Section: Introductionmentioning

confidence: 99%

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Herpes Zoster Mandibularis: Dilemma of Diagnosis - A Case Report.

AKINBADE,

OLUWATUYI,

BUSARI

2023

Nig J Dent Res

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Background: Herpes zoster infection involving the mandibular branch of the trigeminal nerve is rare. It can present with severe pre-eruptive pain along the distribution of the nerve involved. As presented by the patient in this study, this lesion may be mistaken for other painful conditions, leading to misdiagnosis and maltreatment. Post-herpetic neuralgia is the most common and important complication of herpes zoster infection. It is often refractory to treatment and can profoundly affect the patient's quality of life. Objective: To report an unusual and rare case of herpes zoster mandibularis and the diagnostic dilemma experienced in the management. Case Report: A 60-year-old female presented with severe intractable pain from the left side of the tongue and floor of the mouth, rashes of the lower lip and cheek, and ulcerations of the oral cavity. After a period of diagnostic puzzle due to confusing presentations, a diagnosis of herpes zoster infection involving the mandibular branch of the trigeminal nerve complicated with postherpetic neuralgia was finally made and the patient was treated accordingly. The peculiarity, management, and treatment outcome of the case are discussed. Conclusion: Herpes zoster mandibularis as seen in this case can present with clinical features that are confusing and can lead to misdiagnosis and inappropriate treatment. This study aims to raise awareness of the clinical presentation of this rare entity among clinicians in medical and dental practices. It is also advisable to seek dental and orofacial evaluation for patients with a similar presentation from specialists in Oral Medicine and Maxillofacial Surgery.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Herpes Zoster Mandibularis: Dilemma of Diagnosis - A Case Report.

AKINBADE,

OLUWATUYI,

BUSARI

2023

Nig J Dent Res

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“…Setelah terjadi varicella, sistem imun tubuh dapat membunuh varicella Zoster namun kadangkala supresi oleh sistem imun gagal untuk mencegahnya. Ketika reaktivasi virus terjadi, virus ini diangkut ke mikrotubulus dalam akson sensoris dan menginfeksi sel epitel, yang berujung ke pembentukan ruam yang bermanifestasi rasa nyeri dan gatal serta berlokasi di daerah dermatom yang terkena secara unilateral (Olabode, 2018).…”

Section: Aspek Klinikunclassified

Penatalaksanaan Holistik pada Pasien Pria Wanita 40 Tahun dengan Herpes Zoster dengan Pendekatan Kedokteran Keluarga

Muhammad,

Gilang,

Saftarina

2023

JPPP

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Herpes zoster dikenal juga sebagai cacar ular (shingles). Herpes zoster adalah suatu penyakit neurokutaneus yang disebabkan oleh reaktivasi atau aktivasi varicella zoster virus. Karakteristik herpes zoster berupa vesikel berkelompok dengan dasar kemerahan yang terasa nyeri pada daerah persarafan ganglion yang bersifat unilateral dan dermatomal. Herpes zoster merupakan penyakit yang dapat rekuren sewaktu-waktu, sehingga pasien yang menderita herpes perlu diberikan tatalaksana secara holistik. Tujuan penelitian ini adalah menerapkan pelayanan dokter keluarga berbasis evidence based medicine pada pasien dengan mengidentifikasi faktor risiko, masalah klinis, serta penatalaksanaan pasien berdasarkan kerangka penyelesaian masalah pasien dengan pendekatan patient centred dan family approach. Studi ini adalah laporan kasus. Data primer diperoleh melalui anamnesis, pemeriksaan fisik, kunjungan rumah untuk melengkapi data keluarga dan psikososial, serta lingkungan. Penilaian berdasarkan diagnosis holistik dari awal, proses dan akhir studi secara kuantitatif dan kualitatif. Responden yang digunakan berdasarkan beberapa faktor, yaitu jenis kelamin, usia, pendidikan, dan pekerjaan. Pasien seorang wanita usia 40 tahun dengan herpes zoster. Faktor internal pada kasus ialah riwayat menderita varisela saat remaja. Faktor eksternal meliputi kurangnya pengetahuan pasien dan keluarga terhadap penyakit herpes zoster yang diderita serta kurangnya menjaga kebersihan diri dan lingkungan. Dilakukan intervensi farmakologis berupa asiklovir tablet, salep asiklovir, paracetamol, dan cetirizine dan non farmakologis berupa edukasi untuk mencegah rekurensi. Penegakan diagnosis dan penatalaksanaan pada pasien ini telah dilakukan secara holistik, patient centered, family approach dan berdasarkan beberapa teori dan penelitian terkini. Pada proses perubahan perilaku, pasien dan keluarga sudah mencapai tahap adoption.

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“…This includes elderly people, patients with lymphoma, HIV or those receiving chemotherapy or steroids. [ 10 ]…”

Section: Introductionmentioning

confidence: 99%

Herpes zoster of orofacial region

Dosi

Chawla

Barkalle

et al. 2021

Journal of Oral and Maxillofacial Pathology

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Herpes zoster (HZ) is a viral disease which is primarily caused by the nerve tissue, but its treatment necessitates a multidisciplinary approach. Varicella zoster virus (VZV) is a DNA virus that causes both primary and recurrent infection. HZ, also known as shingles, is a unique condition induced by VZV reactivation. Neuropathic pain, headache, malaise and sleep disruption are all prodromal symptoms in such cases. HZ generates a pruritic, localized and vesicular rash that is usually unilateral. Individuals who are immunocompromised as a result of disease or receiving any treatment are also at increased risk, regardless of their age. HZ and its sequelae set a major strain on patient's caregivers, health-care system and business. Despite recent advances, prevention and treatment of HZ, consequences remain a therapeutic challenge. This is a case report of HZ infection in a 56-year-old female patient who was managed with comprehensive medical treatment.

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Herpes Zoster in Diverse Situations: A Review

Cited by 4 publications

References 83 publications

Herpes Zoster Mandibularis: Dilemma of Diagnosis - A Case Report.

Herpes Zoster Mandibularis: Dilemma of Diagnosis - A Case Report.

Penatalaksanaan Holistik pada Pasien Pria Wanita 40 Tahun dengan Herpes Zoster dengan Pendekatan Kedokteran Keluarga

Herpes zoster of orofacial region

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