A case report of herpes zoster in the face after extraction of the teeth.

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Herpes zoster is a dermatomucous disease caused by varicella-zoster virus and manifested with varicella in regions controlled by specific peripheral nerves. In particular, this is relatively frequent in the region controlled by the trigeminal nerve. This paper reports a patient with herpes zoster which occurred, after dental extraction, in the region innervated by the first and second rami of the trigeminal nerve and was accompanied by ophthalmoplegia externa. The incidence of such ophthalmoplegia externa associated with herpes zoster ophthalmicus in this region is relatively low. However, in cases of herpes zoster ophthalmicus, ophthalmic symptoms are said to be more prolonged with a greater variety of patterns than dermal lesions. Therefore, examinations from the aspect of ophthalmology as well as internal medicine are very important in treating patients with this condition.<BR>In our patient, this disease occurred after dental extraction. As the prodrome of herpes zoster, neurological symptoms procede with a probability of about 60%. In this patient, toothache prior to the manifestation of rash was diagnosed as a dental and periodontal disease, and dental extraction was carried out. It seems, however, more appropriate to regard the toothache as a prodromal neurological symptom preceding rash. Dental treatment, if too hastily performed for CI, patient complaining of toothache, may aggravate the underlying disease or induce complications.
社団法人日本口腔外科学会の論文

A case report of herpes zoster in the face after extraction of the teeth.

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