Trigeminal herpes zoster and Ramsay Hunt syndrome in an elderly adult: Presentation with prodromal toothache.

Abstract:

OBJECTIVE:This article describes an atypical herpes zoster (HZ) infection heralded by prodromic dental pain. BACKGROUND:Trigeminal HZ is associated with any of the three divisions of the trigeminal nerve, and Ramsay Hunt syndrome is a rare variant of HZ infection of the ear, often accompanied with unilateral facial nerve palsy. MATERIALS AND METHODS:An 87-year-old man sought remedy for tooth-like pain. Within a week, he developed cutaneous, intraoral and otic eruptions, hearing loss, and mild facial palsy. RESULTS:After ruling out odontogenic pain, he was diagnosed with trigeminal HZ and Ramsay Hunt syndrome. CONCLUSION:Herpes zoster infection should be included as a possible aetiologic factor with atypical presentations of odontogenic pain. Diagnosis of trigeminal HZ infection and the Ramsay Hunt syndrome may lead to timely intervention with antivirals and improved patient outcomes.

journal_name

Gerodontology

journal_title

Gerodontology

authors

Brooks JK,Rostami AM,McCorkle DC,Benesh SI

doi

10.1111/ger.12340

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

276-278

issue

3

eissn

0734-0664

issn

1741-2358

journal_volume

35

pub_type

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