Trigeminal herpes zoster and Ramsay Hunt syndrome in an elderly adult: Presentation with prodromal toothache

Brooks, John K; Rostami, Arash Mike; McCorkle, Douglas C.; Benesh, Samuel I.

doi:10.1111/ger.12340

Cited by 7 publications

(9 citation statements)

References 12 publications

(13 reference statements)

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“…etc. 1 In our patient, maxillary and mandibular division were involved with the vesicular eruptions along the distribution of these three branches with facial palsy, vesicles of external ear, and loss of taste sensations in anterior two-third of the tongue, which are considered as key factors for the diagnosis of Ramsay Hunt syndrome. The early diagnosis and initiation of management is indicated in herpes zoster infection to alleviate symptoms and to prevent secondary infection.…”

Section: Case Reportmentioning

confidence: 70%

“…The early diagnosis and initiation of management is indicated in herpes zoster infection to alleviate symptoms and to prevent secondary infection. Management includes anti-virals which includes the acyclovir (800mg), [2][3][4] valacyclovir (1000mg) 1 and famcyclovir (500mg). 5 But because of poor bioavailability, 6 valacyclovir (1000mg three times a day) and famcyclovir (500mg three times a day) is the drug of choice for oral administration.…”

Section: Case Reportmentioning

confidence: 99%

“…Infection with the Herpes zoster virus served as a potentially serious systemic disorder in the adults. 1 Clinically, it is represented as a unilateral vesicular rash restricted to a single dermatome corresponding to the ganglion in which the dormant varicella zoster virus is reactivated. Skin lesions are associated with segmental neuralgia leads to pain and paresthesia.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of topical Interferon Alfa- 2b used as an adjunct in the management of primary OSSN

Kaur

Pandey²,

Shukla³

et al. 2021

IJOOO

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Herpes zoster represents a latent reactivation of the varicella zoster virus infection with a dermatomal pattern of eruption and complicated by post-herpetic neuralgia. Ramsay hunt syndrome is a rare complication of herpes zoster and it is not just a syndrome but it's rather an infectious disease. This syndrome is characterized by peripheral facial nerve palsy associated with an erythematous vesicular rash on the ear. It is characterized by unilateral pattern of facial involvement and presence of vesicles helps in early diagnosis and distinguish the syndrome with diseases mimicking other severe neurological diseases. This article reports a case of 56-year-old male patient who reported with a complaint of severe toothache, which serves as severe prodrome for reactivation of herpes zoster virus which later leads to Ramsay Hunt syndrome. This case report highlights about the management of herpes zoster and its complication and emphasizes on prevention of post herpetic neuralgia complication.

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Section: Case Reportmentioning

confidence: 70%

Section: Case Reportmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Efficacy of topical Interferon Alfa- 2b used as an adjunct in the management of primary OSSN

Kaur

Pandey²,

Shukla³

et al. 2021

IJOOO

View full text Add to dashboard Cite

show abstract

“…Additionally, the elderly are more prone to illnesses with local, referred, or nonspecific pain. Therefore, it is necessary for the clinician to be aware that the pain may be due to a variety of possible causes, such as Case Report doi:10.2209/tdcpublication.2021-0012 cancer, a compromised immune response to viral attack, or intracranial lesions due to the development of arteriosclerosis 1) .…”

Section: Introductionmentioning

confidence: 99%

Diagnosing Trigeminal Neuralgia Based on Clinical Diagnostic Reasoning in an Elderly Patient

Usuda

Muraoka

Asoda

et al. 2021

Bull. Tokyo Dent. Coll.

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When pain adversely affects a patient's activities its diagnosis needs to be fast and accurate to allow effective treatment to be commenced as soon as possible. Difficulties may be found in achieving this, however, in elderly patients with age-associated cognitive decline, as they may not be capable of properly understanding or recalling their symptoms. The present case concerns a 77-year-old woman who presented with the chief complaint of pain in the right mandible persisting throughout the day, and severe enough to necessitate her lying down in bed all day long. The use of open-ended questions followed by a structured interview focused on pain with closed-ended questions revealed that she experienced paroxysms of pain throughout the day and that she was afraid of its occurrence. Based on these findings, the diagnosis was trigeminal neuralgia. Carbamazepine decreased the pain with no side effects. The patient continued taking carbamazepine for 3 months, during which time she was closely monitored for adverse reactions. No side effects, such as drowsiness or dizziness, were observed, however, and the pain subsided completely with no recurrence, even after cessation of carbamazepine.

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“…Varicella-zoster (VZV) is a virus that belongs to the Herpesvirus family, which can cause two different clinical infections: a primary infection, varicella and secondary or recurrent, or herpes zoster (HZ) 1,2 . After chickenpox is resolved, the virus remains latent in the dorsal root ganglia, and may, at some point, reactivate and trigger herpes zoster [2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

Trigeminal Herpes Zoster: Case Report

et al. 2021

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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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Trigeminal herpes zoster and Ramsay Hunt syndrome in an elderly adult: Presentation with prodromal toothache

Cited by 7 publications

References 12 publications

Efficacy of topical Interferon Alfa- 2b used as an adjunct in the management of primary OSSN

Efficacy of topical Interferon Alfa- 2b used as an adjunct in the management of primary OSSN

Diagnosing Trigeminal Neuralgia Based on Clinical Diagnostic Reasoning in an Elderly Patient

Trigeminal Herpes Zoster: Case Report

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