Dilemma in Diagnosing Herpes Zoster with Prodromal Odontalgia in Immunocompetent Patient: A Case Report
Herpes Zoster (HZ) is an acute viral infection characterised by painful unilateral vesicular lesions, generally occurs in immunocompromised conditions, and progresses through three stages i.e., prodromal, active, and chronic stages. Odontalgia may occur when trigeminal nerve branches are involved du...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2022-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/16395/53491_CE[Ra1]_F[SH]_PF1(PS_SS)_PFA(PS_KM)_PN(KM).pdf |
| _version_ | 1811165229420118016 |
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| author | Nelly Nainggolan Tenny Setiani Dewi |
| author_facet | Nelly Nainggolan Tenny Setiani Dewi |
| author_sort | Nelly Nainggolan |
| collection | DOAJ |
| description | Herpes Zoster (HZ) is an acute viral infection characterised by painful unilateral vesicular lesions, generally occurs in immunocompromised conditions, and progresses through three stages i.e., prodromal, active, and chronic stages. Odontalgia may occur when trigeminal nerve branches are involved during this prodromal stage. More than 53% of doctors have difficulty in diagnosing HZ on the prodromal stage before the emergence of the skin eruption. This report describes the HZ infection affecting all three branches of the trigeminal nerve which causes odontalgia on the prodromal stage. A-62-year-old male referred with the complaint of painful oral ulcers, multiple vesicles and crusts with swelling and pain on his left side of the face. Previously, it was only confined to the lips but gradually spreads to the eyes followed by odontalgia and pain on the left side of mandible. The diagnosis of HZ affecting three branches of trigeminal nerves was determined from the presence of unilateral lesions on the skin and oral cavity. The lesions healed completely after two months. Odontalgia in trigeminal HZ that occurs in the prodromal stage can pose a dilemma, be misdiagnosed, and become a diagnostic challenge for dentists. The presence of an unidentified cause of odontalgia should be an alarming sign of HZ infection, especially in the elderly. |
| first_indexed | 2024-04-10T15:33:55Z |
| format | Article |
| id | doaj.art-e032358c4fb4448b8aa3bcff3a12a3ce |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T15:33:55Z |
| publishDate | 2022-05-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-e032358c4fb4448b8aa3bcff3a12a3ce2023-02-13T10:56:51ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-05-01165ZD20ZD2210.7860/JCDR/2022/53491.16395Dilemma in Diagnosing Herpes Zoster with Prodromal Odontalgia in Immunocompetent Patient: A Case ReportNelly Nainggolan0Tenny Setiani Dewi1Postgraduate, Department of Oral Medicine, Faculty of Dentistry, Universitas Padjadjaran, Bandung, West Java, Indonesia.Associate Professor, Department of Oral Medicine, Faculty of Dentistry, Universitas Padjadjaran, Bandung, West Java, Indonesia.Herpes Zoster (HZ) is an acute viral infection characterised by painful unilateral vesicular lesions, generally occurs in immunocompromised conditions, and progresses through three stages i.e., prodromal, active, and chronic stages. Odontalgia may occur when trigeminal nerve branches are involved during this prodromal stage. More than 53% of doctors have difficulty in diagnosing HZ on the prodromal stage before the emergence of the skin eruption. This report describes the HZ infection affecting all three branches of the trigeminal nerve which causes odontalgia on the prodromal stage. A-62-year-old male referred with the complaint of painful oral ulcers, multiple vesicles and crusts with swelling and pain on his left side of the face. Previously, it was only confined to the lips but gradually spreads to the eyes followed by odontalgia and pain on the left side of mandible. The diagnosis of HZ affecting three branches of trigeminal nerves was determined from the presence of unilateral lesions on the skin and oral cavity. The lesions healed completely after two months. Odontalgia in trigeminal HZ that occurs in the prodromal stage can pose a dilemma, be misdiagnosed, and become a diagnostic challenge for dentists. The presence of an unidentified cause of odontalgia should be an alarming sign of HZ infection, especially in the elderly.https://www.jcdr.net/articles/PDF/16395/53491_CE[Ra1]_F[SH]_PF1(PS_SS)_PFA(PS_KM)_PN(KM).pdfshinglestoothachetrigeminal nervevaricella zoster virus |
| spellingShingle | Nelly Nainggolan Tenny Setiani Dewi Dilemma in Diagnosing Herpes Zoster with Prodromal Odontalgia in Immunocompetent Patient: A Case Report Journal of Clinical and Diagnostic Research shingles toothache trigeminal nerve varicella zoster virus |
| title | Dilemma in Diagnosing Herpes Zoster with Prodromal Odontalgia in Immunocompetent Patient: A Case Report |
| title_full | Dilemma in Diagnosing Herpes Zoster with Prodromal Odontalgia in Immunocompetent Patient: A Case Report |
| title_fullStr | Dilemma in Diagnosing Herpes Zoster with Prodromal Odontalgia in Immunocompetent Patient: A Case Report |
| title_full_unstemmed | Dilemma in Diagnosing Herpes Zoster with Prodromal Odontalgia in Immunocompetent Patient: A Case Report |
| title_short | Dilemma in Diagnosing Herpes Zoster with Prodromal Odontalgia in Immunocompetent Patient: A Case Report |
| title_sort | dilemma in diagnosing herpes zoster with prodromal odontalgia in immunocompetent patient a case report |
| topic | shingles toothache trigeminal nerve varicella zoster virus |
| url | https://www.jcdr.net/articles/PDF/16395/53491_CE[Ra1]_F[SH]_PF1(PS_SS)_PFA(PS_KM)_PN(KM).pdf |
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