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MULTIPLE ORO-FACIAL COMPLICATIONS OF HERPES ZOSTER INFECTION IN AN ELDERLY: A CASE REPORT
A A Salami1,2,3, T O Mudasiru4,5, I Joseph6,5
1Department of Oral and Maxillofacial Surgery, University College Hospital, Ibadan, Nigeria.
Annals of Ibadan Postgraduate Medicine
|May 19, 2025
Summary
Herpes zoster (HZ) can cause severe complications, particularly in the elderly. This case highlights multiple HZ complications, including osteomyelitis, emphasizing the need for early diagnosis and treatment.
Area of Science:
- Virology
- Immunology
- Dermatology
Background:
- Herpes zoster (HZ), a reactivation of the varicella-zoster virus, presents a significant global health challenge.
- Complications of HZ are influenced by factors including immune status, age, and infection duration.
- Potential HZ complications encompass secondary infections, post-herpetic neuralgia, scarring, nerve palsies, and encephalitis.
Observation:
- A case report details a 78-year-old widow with HZ infection involving the mandibular division of the trigeminal nerve.
- The patient exhibited multiple severe complications: hyperpigmented scarring, persistent post-herpetic neuralgia, and chronic non-suppurative osteomyelitis of the mandible.
Findings:
- This case underscores the potential for HZ to manifest with multiple, severe complications simultaneously.
- Elderly individuals and those with compromised immunity appear particularly susceptible to complex HZ presentations.
Implications:
- Prompt diagnosis and early intervention in Herpes zoster are crucial for mitigating the risk and severity of complications.
- Awareness of potential multi-complication HZ syndromes is vital for effective patient management, especially in geriatric populations.
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