Spontaneous tooth exfoliation, maxillary osteomyelitis and facial scarring following trigeminal herpes zoster infection.
A case of trigeminal herpes zoster (HZ) infection affecting the left maxillary and ophthalmic divisions of the fifth cranial nerve in an immuno-competent patient is presented. Extremely rare complications such as osteonecrosis, spontaneous tooth exfoliation, secondary osteomyelitis and facial scarring were observed. Sequestrectomy, aciclovir and erythromycin stearate were effectively used in managing the case.
Pillai
Kamala G
KG
SDM College of Dental Sciences and Hospital, Sattur, Dharwad, Karnataka, India. gopal@trinidad.net
Nayar
Kavitha
K
Rawal
Yeshwant B
YB
D000212:Acyclovir / Q000627:therapeutic use; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000998:Antiviral Agents / Q000627:therapeutic use; D002921:Cicatrix / Q000821:virology*; D004917:Erythromycin / Q000031:analogs & derivatives / Q000627:therapeutic use; D005148:Facial Dermatoses / Q000821:virology*; D006562:Herpes Zoster / Q000175:diagnosis*; D006801:Humans; D007121:Immunocompetence; D008297:Male; D008439:Maxillary Diseases / Q000821:virology*; D010019:Osteomyelitis / Q000821:virology*; D014080:Tooth Exfoliation / Q000821:virology*; D020433:Trigeminal Nerve Diseases / Q000821:virology*
D000900:Anti-Bacterial Agents; D000998:Antiviral Agents; D004917:Erythromycin; C011462:erythromycin stearate; D000212:Acyclovir