Multidermatomal herpes zoster ophthalmicus in an immunocompetent male

Dube, Shobhana; Ranjan, Pratyush; Rajshekhar, V.

doi:10.4103/2320-3897.195308

Cited by 6 publications

(4 citation statements)

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“…There have been only a few published cases of herpes zoster affecting all three branches of the trigeminal nerve, although none were associated with disseminated central nervous system infections [1,5,6]. Similar to our case, Naveen et al presented a young, immunocompetent male with herpes zoster of all three divisions of the trigeminal nerve with the involvement of the hard palate, further highlighting the importance of examining the oral mucosa [6].…”

Section: Discussionsupporting

confidence: 81%

Varicella Zoster Aseptic Meningitis Presenting as an Atypical Mucocutaneous Eruption Involving All Three Divisions of the Trigeminal Nerve

Magazin¹,

Castner²,

Askar³

et al. 2022

Cureus

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Herpes zoster involving all three divisions of the trigeminal nerve is extremely rare and may pose a diagnostic challenge, especially in young and immunocompetent patients. We present a unique case of herpes zoster involving all three divisions of the trigeminal nerve and illustrate that this uncommon eruption can be a presenting sign of varicella zoster aseptic meningitis. This case emphasizes the importance of fundamental morphology recognition, particularly its ability to aid in clinical diagnosis and its potential to decrease patient morbidity and mortality by expediting the initiation of appropriate treatment.

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Section: Discussionsupporting

confidence: 81%

Varicella Zoster Aseptic Meningitis Presenting as an Atypical Mucocutaneous Eruption Involving All Three Divisions of the Trigeminal Nerve

Magazin¹,

Castner²,

Askar³

et al. 2022

Cureus

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“…More extensive skin involvement of several adjacent dermatomes is known as multidermatomal zoster. 4 The ophthalmic branch(V1) of the trigeminal nerve is affected about 20 times more often than maxillary(V2) and mandibular(V3) branches of the nerve. The maxillary nerve(V2) is the least frequently affected branch.…”

Section: Discussionmentioning

confidence: 99%

“…These complications include encephalitis, herpes zoster ophthalmicus, retinitis, delayed contralateral hemiparesis, stroke, and myelitis. 4 Early diagnosis and prompt treatment of HZ is the mainstay of treatment. Antiviral drugs are best administered within the viral replication period, which is ≤72 hours after onset of rash.…”

Section: Discussionmentioning

confidence: 99%

Multidermatomal Herpes Zoster of the trigeminal nerve in an immunocompetent patient: a case report

Sun,

Sanusi

2024

Asian J Dental Health Sci

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Herpes Zoster is a neurocutaneous viral infection caused by the reactivation of the Varicella Zoster Virus in the dorsal root ganglion. It is characterized as vesicular rash along a unilateral dermatome, usually associated with pain or paresthesia of the involved area. Multidermatomal involvement is rare in immunocompetent patients. We report an unusual case of Herpes Zoster involving the maxillary(V2) and mandibular(V3) branches of the trigeminal nerve in a healthy immunocompetent lady. Keywords: herpes zoster, neurocutaneous viral infection, trigeminal nerve

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“…The vesicular rash typically is described to follow the distribution of a single sensory dermatome without crossing the midline [ 1 ]. Localised HZ—affecting a single unilateral dermatome—is the most common presentation of HZ with thoracic dermatomes (45%), cervical (23%) and trigeminal (15%) being most affected [ 2 ]. Herpes zoster affecting multiple adjacent dermatomes is known as multidermatomal herpes zoster and is a quite rare phenomenon.…”

Section: Introductionmentioning

confidence: 99%

An atypical presentation of multidermatomal herpes zoster: a case report

2020

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Background Herpes zoster (HZ) also known as shingles is a common dermatological pathology seen in the emergency department. Multidermatomal involvement is an uncommon presentation and usually is linked to immunocompromised individuals. However, it is rarely reported in the immunocompetent population. Case presentation We report a 30-year-old Emirati male complaining of low-grade fever for 3 days, sore throat and an uncomfortable pruritic erythematous rash over his chest and back for 2 days. He was treated the day preceding his presentation in another facility for a presumed allergic reaction after taking ibuprofen. On physical examination, he was found to have exudative tonsillitis and influenza and was treated for both and discharged. He returned to the emergency department reporting increasing pain and was referred to be seen in the dermatology clinic where a biopsy was obtained, and he was discharged with a steroid topical cream. Fourteen days later, he returned to the clinic reporting crusting of the rash; the biopsy results were positive for herpes zoster. The diagnosis of multidermatomal herpes zoster was made, and he was then treated with antivirals. Conclusions Herpes zoster can present with atypical manifestations. Multidermatomal HZ is a rare dermatological manifestation in the immunocompetent adult. It is characterised by a rash spread over two or more adjacent dermatomes. This case highlights the challenging diagnosis of this dermatological presentation.

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Multidermatomal herpes zoster ophthalmicus in an immunocompetent male

Cited by 6 publications

References 1 publication

Varicella Zoster Aseptic Meningitis Presenting as an Atypical Mucocutaneous Eruption Involving All Three Divisions of the Trigeminal Nerve

Varicella Zoster Aseptic Meningitis Presenting as an Atypical Mucocutaneous Eruption Involving All Three Divisions of the Trigeminal Nerve

Multidermatomal Herpes Zoster of the trigeminal nerve in an immunocompetent patient: a case report

An atypical presentation of multidermatomal herpes zoster: a case report

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