Mandibular osteonecrosis and dental exfoliation after trigeminal zoster in an HIV-infected patient

Cloarec, Nicolas; Zaegel-Faucher, Olivia; Brégigeon, Sylvie; Cano, Carla E.; Chossegros, C.; Wajszczak, Benoit; Poizot‐Martin, Isabelle

doi:10.1097/qad.0000000000000122

Cited by 8 publications

(8 citation statements)

References 7 publications

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“…6 The time period from the onset of HZ and osteonecrosis varies from immediate appearance to 42 days with a mean of 21.2 days. Among the 45 cases of HZ reviewed by Cloarec et al 7 , osteonecrosis developed in 14 cases with a mean interval of 5 weeks. Other authors suggest as much as 3-24 weeks.…”

Section: Discussionmentioning

confidence: 99%

“…2 Herpes Zoster is a common infection in HIVinfected patients with incidence up to five cases per 100 persons per year. 7 The incidence of HZ of the trigeminal nerve is more common in an older age group, however, the affected HIV positive patients are generally younger. 3 Siwamogstham et al 2 mention that in India, Herpes Zoster was found to be an early manifestation in HIV infected patients and was seen in the age group of 12-45 years.…”

Section: Discussionmentioning

confidence: 99%

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Post Herpetic Osteonecrosis of the Maxilla

Ajila

Naidu

Gopakumar

2019

Cumhuriyet Dental Journal

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Herpes Zoster (HZ) is caused by the secondary reactivation of Varicella Zoster virus. It is characterised by presence of severe pain and unilateral vesicles along the distribution of the affected nerve. Osteonecrosis is one of the rare complications of Herpes Zoster which is seen after the acute phase of the illness has subsided. We report a case of osteonecrosis of the maxilla in 35-years-old female. The subject gave a history of Herpes Zoster of the maxillary branch of the trigeminal nerve. After healing of the lesions, she then developed osteonecrosis of the maxilla. Further investigations revealed her HIV positive status. The clinical features, pathogenesis and management of this rare condition are described. Further, the occurrence of HZ induced osteonecrosis lead to the diagnosis of HIV in the present case.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Post Herpetic Osteonecrosis of the Maxilla

Ajila

Naidu

Gopakumar

2019

Cumhuriyet Dental Journal

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“…HIV-infected patients are 20 times more likely to develop herpes zoster, often before other clinical findings of HIV disease are present. Disseminated herpes zoster usually is defined as a generalized eruption of more than 20 extra-dermatomal vesicles occurring within a week of the onset of classic dermatomal herpes zoster [ 4 , 5 ].…”

Section: Discussionmentioning

confidence: 99%

Herpes Zoster in Four HIV Seropositive Patients and One Patient With Recurrent Carcinoma After Radiotherapy

Pannerselvam¹,

Kulanthaivelu²,

Mohan³

et al. 2022

Cureus

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Herpes zoster is a ubiquitous ultramicroscopic neurotropic virus that causes pruritic acute grouped vesicular eruptions and rashes, these vesicles rupture spontaneously resulting in pustules, crustations, which are pruritic in nature on the affected skin along the course of the dermatome resulting in scab. The scab withers off later leaving a permanent scar and pigmentation. The characteristic clinical finding was that vesicles or ulcers resulting from herpes zoster lesions never cross the midline. Two such reported cases of herpes zoster in seropositive HIV patients that resulted in extensive crustations and periorbital edema, left unilateral facial pain of burning quality in 25-year-old female patient and spontaneous exfoliation of a tooth in another 35-year-old patient, treated with drug therapy comprising acyclovir, gabapentin, amitriptyline are discussed here.

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“…Infectious process could play a role, either by direct odontoblast targeting by VZV or by superinfection with other agents (mostly by actinomyces species), and has been reported in other causes of ONJ [8].…”

Section: Mandibular Osteonecrosis and Dental Exfoliation After Trigemmentioning

confidence: 99%