RESUMO
Introduction: Herpes simplex labialis occurs by reactivation of herpes simplex virus type I, but infection with the virus type II can also lead to disease. Several factors, including exposure to intense sunlight, psychological stress or immunosuppression may trigger a recurrence. Objective: The purpose of this article is to report a case of herpes simplex labialis in an immunosuppressed patient. Case report: Male patient, 40 years of age, was admitted to the Hospital Oswaldo Cruz (Curitiba/PR) for presenting with dry cough and chest pain accompanied by fever, sweating and weight loss. The patient is a smoker, HIV positive and presented a case of pneumocystosis. The intraoral examination revealed a smooth tongue and erythematous candidiasis. Vesicular and crusted lesions were observed on the skin around the lips and vermilion. Considering these findings, diagnosis of recurrent herpes labialis was established. The patient was treated with acyclovir for 12 days when there was regression of the lesions. Conclusion: The dentist needs to be aware of cases of exacerbated recurrent herpes labialis that can be a strong indication of HIV infection/AIDS.
RESUMO
O herpes-zóster é uma infecção viral causada pela reativação do vírus da varicela-zóster. Esta doença pode afetar pacientes imunossuprimidos e caracteriza-se por lesões papulovesiculares distribuídas na região inervada pelo nervo afetado, causando dores intensas. Este artigo relata o caso de um paciente do sexo masculino, leucoderma, 26 anos de idade, dependente químico, HIV positivo e com tuberculose ganglionar que procurou o Hospital Oswaldo Cruz (Curitiba/PR) tendo como queixa mal-estar geral, lesões na pele e mucosa oral, e linfadenopatia na região cervical. Discussão: O diagnóstico do herpes-zóster foi estabelecido por meio das características clínicas das lesões, e o tratamento estabelecido envolveu o uso de drogas antirretrovirais, analgésicos e antidepressivos. Conclusão: O cirurgião-dentista precisa estar atento às lesões papulovesiculares que acometem a pele e as mucosas de forma unilateral, acompanhadas de sintomas de prurido e dor, pois elas garantem o diagnóstico do herpes-zóster...
Herpes zoster is a viral infection caused by the reactivation of varicella zoster virus. This disease can affect immunocompromised patients and is characterized by papulovesicular lesions distributed in the inner¬vated region by the affected nerve and may result in severe pain. This article reports the case of a male patient, leucoderm, 26 years old, user of illicit drugs, HIV positive and with lymph node tuberculosis, who came to the hospital Oswaldo Cruz (Curitiba, Paraná, Brazil), having as general complaint malaise, skin and oral lesions, and cervical lymphadenopathy. Discussion: The diagnosis of herpes zoster has been established by clinical characteristics of the lesions and established treatment involved the use of antiretroviral drugs, analgesics and antidepressants. Conclusion: The dentist needs to be aware of papulovesicular lesions affecting the skin and mucous membranes unilaterally followed by symptoms of pruritus and pain, for these ensure the diagnosis of herpes zoster...