RESUMEN
Herpes zoster of the trigeminal nerve is a disease that often challenges dentists and dental specialists trying to make the proper diagnosis, as many ulcerative and vesiculobullous diseases of the mouth have a similar clinical appearance. We report a clinical case in which a 27-year-old patient sought care for this vesicular lesion. Included are the differential diagnosis and treatment modalities that we used to diagnose the disease. A clinical pathologic conference is provided to highlight the appropriate courses of action in the management of herpes zoster.
Asunto(s)
Enfermedades de los Nervios Craneales/virología , Dermatosis Facial/virología , Herpes Zóster/diagnóstico , Nervio Mandibular/virología , Enfermedades de la Boca/virología , Adulto , Dermatitis por Contacto/diagnóstico , Diagnóstico Diferencial , Eritema Multiforme/diagnóstico , Humanos , Masculino , Estomatitis/diagnóstico , Estomatitis Aftosa/diagnóstico , Estomatitis Herpética/diagnósticoAsunto(s)
Herpes Zóster/patología , Enfermedades de la Boca/patología , Mucosa Bucal/patología , Enfermedades Cutáneas Virales/patología , Adulto , Antivirales/uso terapéutico , Mejilla/patología , Mentón/patología , Herpes Zóster/tratamiento farmacológico , Humanos , Labio/patología , Masculino , Nervio Mandibular/virología , Enfermedades de la Boca/tratamiento farmacológico , Suelo de la Boca/patología , Enfermedades Cutáneas Virales/tratamiento farmacológico , Lengua/patología , Adulto JovenRESUMEN
A case of herpes zoster infection with unusual oral complications involving the mandibular division of the trigeminal nerve is presented. The post-herpetic complications of osteonecrosis, spontaneous exfoliation of teeth, and subsequent pathologic fracture of mandible in the absence of concurrent predisposing factors in a 65-year-old man are demonstrated. Forty-one cases with osteonecrosis and spontaneous exfoliation of teeth previously presented in the literature are reviewed. This is the first report of pathologic fracture after herpes zoster infection.