Herpes Zoster of orofacial region- A review

Herper Zoster

Authors

  • Dr Dhaval N Mehta
  • Dr Bhavik Thakkar
  • Dr Mukesh Asrani

Keywords:

Herpes zoster, varicella, vesicles

Abstract

Herpes zoster is a disease of adulthood caused by reactivation of varicella zoster virus which lies dormant in sensory ganglia. Immunocompromised patients i.e. with malignancy/organ transplantation/AIDS; patients taking immunosuppressive drugs are more susceptible for herpes zoster infection. Various prodromal features like pain, odontalgia, fever and regional lymphadenopathy precede the active lesions of herpes zoster- i.e. unilateral vesicles (cutaneous/oral) and ulcerations follows pathway of dermatome and this clinical appearance is sufficiently distinctive to make clinical diagnosis of herpes zoster accurately without any other investigations. Antiviral drugs e.g. Acyclovir, Famcyclovir and Valacyclovir with symptomatic treatment are treatment of choice for herpes zoster infection.

References

1 Gnann JW Jr, Whitley RJ.Clinical practice. Herpes zoster.N Engl J Med. 2002 ;347:340-6.
2 Cohen JI, Brunell PA, Straus SE, Krause PR. Recent advances in varicella zoster virus infection. Ann Intern Med. 1999;130: 922-32.
3 Mubeen, Adil I. .Maxillary alveolar osteonecrosis- A rare complication associated with herpes zoster infection of right maxillary nerve. JIAMOR , 2003, 15(4).22-34.
4 Solomon CS, Coffiner MO, Chalfin HE.Herpes Zoster revisited: Implicated in root resorption. J Endod. 1986;12:210-3.
5 Kmarthi N, Narasimha GE, Lingappa A.An unsual case of osteonecrosis and spontaneous tooth exfoliation following trigeminal herpes zoster in a HIV seropositive patient. Int J Oral Med Sci 2009;8:52-9.
6 Kwamin F, Parkins G, Nyako E. Herpes zoster infection in human immunodeficiency virus with maxillary and mandibular osteonecrosis with teeth exfoliation. Int J Dent Case Reports 2012; 2: 7-10
7 Cooper JC. Tooth exfoliation & osteonecrosis of jaw following herpes zoster. Br Dent J. 1977 1;143:297-300.
1. Galil K, Choo PW, Donahue JG, Platt R.The sequelae of herpes zoster Arch Intern Med. 1997;157:1209-13.
8 Gilden DH, Kleinschmidt-DeMasters BK, LaGuardia JJ, Mahalingam R, Cohrs RJ. Neurologic complications of the reactivation of varicella zoster virus.N Engl J Med. 2000;342 :635-45.
9 Choo PW, Galil K, Donahue JG, Walker AM, Spiegelman D, Platt R.Risk factors of postherpetic neuralgia. Arch Intern Med. 1997 ;157:1217-24.
10 Dworkin RH, Portenoy RK. Pain & its persistence in herpes zoster. Pain.1996; 67: 241-51
11 Smith S, Ross JW, Scully C. An unusual oral complication of herpes zoster infection.Oral Surg Oral Med Oral Pathol. 1984 ;57:388-9.
12 Schwartz O, Kvorning SA. Tooth exfoliation, osteonecrosis of the jaw and neuralgiafollowing herpes zoster of trigeminal nerve. Int J Oral Surg. 1982 ;11: 364-71.
13 Straus SE, Ostrove JM, Inchauspé G, Felser JM, Freifeld A, Croen KD,et al. Varicella Zoster virus infections: Biology, natural history, treatment and prevention. Ann Intern Med. 1988 ;108:221-37.
14 Kost RG, Straus SE. Postherpetic Neuralgia- pathogenesis, treatment and prevention.N Engl J Med. 1996;335:32-42.
15 K.R.Kashinath KR, Chandrashekar L Herpes zoster along maxillary nerve with osteonecrosis. Journal of Dental Sciences & Research 2011; 2: 12-7.
16 Shafer, Hine, Levy.Bacterial, viral and mycotic infections. In: A textbook of oral pathology, 4th edition, 340-405.Reed Elsevier India Private Ltd, New Delhi
17 Mintz SM, Anavi Y. Maxillary osteomyelitis and spontaneous tooth exfoliation after herpes zoster. Oral Surg Oral Med Oral Pathol.1992 ;73:664-6.
18 Verbin RS, Heineman HS, Stiff RH.Localized odontalgia occurring during herpes zoster of the maxillary division of fifth cranial nerve: Report of a case. Oral Surg Oral Med Oral Pathol. 1968 ;26:441-5.
19 Wright WE, Davis ML, Geffen DB, Martin SE, Nelson MJ, Straus SE. Alveolar bone necrosis and tooth loss: A rare complication associated with herpes zoster infection of the fifth cranial nerve. Oral Surg Oral Med Oral Pathol.1983;56:39-46.
20 Wood MJ, Johnson RW, McKendrick MW, Taylor J, Mandal BK, Crooks J. A randomized trial of acyclovir for 7 days or 21 days with and without prednisolone for treatment of acute herpes zoster. N Engl J Med.1994;330: 896-900.
21 Tyring S, Barbarash RA, Nahlik JE, Cunningham A, Marley J, Heng M, et al. Famciclovir for the treatment of acute herpes zoster: effects on acute disease and postherpetic neuralgia. A randomized double-blind, placebo-controlled trial. Collaborative Famciclovir Herpes Zoster Study Group. Ann Intern Med. 1995;1:89-96.

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Published

2013-02-28

How to Cite

N Mehta, D. D., Thakkar, D. B., & Asrani, D. M. (2013). Herpes Zoster of orofacial region- A review: Herper Zoster. National Journal of Integrated Research in Medicine, 4(1), 116–120. Retrieved from http://nicpd.ac.in/ojs-/index.php/njirm/article/view/452

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Section

Review Article