Oro-cutaneous presentations of Herpes Zoster in a healthy adult
Autor: | O. Brajachand Singh, T. Nabachandra Singh, Ngairangbam Sanjeeta, W. Robindro Singh |
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Rok vydání: | 2014 |
Předmět: | |
Zdroj: | IOSR Journal of Dental and Medical Sciences. 13:76-78 |
ISSN: | 2279-0853 2279-0861 |
DOI: | 10.9790/0853-13167678 |
Popis: | A well built 43 yrs old male of medium height with no history of past medical illness and with a negative HIV status presented with pain on the left cheek with a couple of painful white lesions in the mouth associated with malaise. Considering it to be an apthous ulcer treated with analgesic, antiseptic mouth wash, a topical anaesthetic gel, and a multivitamin. Three days later condition worsened with cutaneous vesicles and postulation. The case was shown to a dermatologist and a diagnosis of herpes zoster was made based on the clinical manifestations. Then treated with Tab Microvir (Famciclovir), analgesic, vitamin, and a chorhexidine mouth wash. The signs and symptoms completely disappeared by the twelfth day of the initiation of the treatment. Presence of oral lesions without dermal lesions, in an unsuspecting individual, during the early stage of HZ can mislead the diagnosis and management of the condition. Early diagnosis and prompt management with an antiviral agent and a corticosteroid, can markedly decrease the morbidity of the disease, and also avoid complications like post herpetic neuralgia. |
Databáze: | OpenAIRE |
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