Chronic osteomyelitis on mandible induced by trigeminal zoster.
- Author:
Jung Hwan OH
1
;
Jin Hyuk YIM
Author Information
1. Department of Oral & Maxillofacial Surgery, College of Dentistry, Kyunghee University, Korea. omsojh@khu.ac.kr
- Publication Type:Original Article
- Keywords:
Varicella Zoster Virus;
Osteomyelitis;
Post-herpetic neuralgia
- MeSH:
Chickenpox;
Chickens;
Communicable Diseases;
Curettage;
Ganglia, Sensory;
Herpes Zoster*;
Herpesvirus 3, Human;
Jaw;
Mandible*;
Mucous Membrane;
Neuralgia;
Osteomyelitis*;
Skin;
Trigeminal Nerve
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2007;33(2):169-172
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The Varicella zoster virus is responsible for two common infectious diseases: chicken pox(Varicella) and shingles(Herpes zoster). Chicken pox is the primary infection. After the initial infection, the virus remains dormant in sensory ganglia until reactivation may occur decades later. The subsequent reactivation is Herpes zoster. Herpes zoster of the trigeminal nerve distribution manifests as painful, vesicle eruptions of the skin and mucosa innervated by the affected nerve. Oral vesicles usually appear after the skin manifestrations. Reports of osteomyelitis of jaw after trigeminal herpes zoster are extremely rare. We report a case of osteomyelitis on mandible caused by herpes zoster infection which was treated by antiviral drug, curettage. At 1 year post-operatively, mandibular mucosa had healed without recurrent sign. But post-herpetic neuralgia is remained.