MULTIPLE ORO-FACIAL COMPLICATIONS OF HERPES ZOSTER INFECTION IN AN ELDERLY: A CASE REPORT.

Annals of Ibadan postgraduate medicine Pub Date : 2024-12-31

A A Salami, T O Mudasiru, I Joseph, E O Abe, A O Adisa

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Abstract

Introduction: Herpes zoster (HZ) is a viral disease with a global health burden which significantly impacts on the quality of life. HZ is caused by reactivation of the varicella-zoster virus and its complications are dependent on multiple factors like immune suppression, psychological stress, malnutrition, co-morbidities, duration of HZ infection and old age. Some of the complications include secondary bacterial infection, post-herpetic neuralgia, scarring, nerve palsy, and viral encephalitis. These complications could present as single or rarely as multiple entities in an individual.

Materials & methods: We present a case of HZ infection affecting the mandibular division of trigeminal nerve in a 78-year-old widow. The patient presented with multiple complications including hyper- pigmented scarring, post herpetic neuralgia and chronic non-suppurative osteomyelitis of the left mandible. This case report highlights the presentation of multiple complications from HZ infection especially among the elderly.

Conclusion: Early diagnosis and prompt treatment of HZ infection are highly essential for reduced risk of complications.

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老年人带状疱疹感染的多重口腔-面部并发症：1例报告。

带状疱疹（HZ）是一种全球性的病毒性疾病，严重影响生活质量。HZ是由水痘带状疱疹病毒的再激活引起的，其并发症取决于多种因素，如免疫抑制、心理压力、营养不良、合并症、HZ感染持续时间和年龄。一些并发症包括继发性细菌感染、疱疹后神经痛、瘢痕、神经麻痹和病毒性脑炎。这些并发症可能在个体中表现为单一或罕见的多个实体。材料与方法：我们提出一个78岁寡妇的HZ感染影响三叉神经下颌骨分裂的病例。患者表现出多种并发症，包括色素沉着疤痕，疱疹后神经痛和左下颌骨慢性非化脓性骨髓炎。本病例报告强调了HZ感染的多种并发症，特别是在老年人中。结论：早期诊断和及时治疗对降低并发症的发生至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Annals of Ibadan postgraduate medicine

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