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KMID : 0355620070330020169
Journal of Korean Association of Oral and Maxillofacial Surgeons
2007 Volume.33 No. 2 p.169 ~ p.172
Chronic osteomyelitis on mandible induced by trigeminal zoster
Oh Jung-Hwan

Yim Jin-Hyuk
Abstract
The Varicella zoster virus is responsible for two common infectious diseases: chicken pox(Varicella) and shingles(Herpes zoster). Chicken pox is the primary infection. After the initial infection, the virus remains dormant in sensory ganglia until reactivation may occur decades later. The subsequent reactivation is Herpes zoster. Herpes zoster of the trigeminal nerve distribution manifests as painful, vesicle eruptions of the skin and mucosa innervated by the affected nerve. Oral vesicles usually appear after the skin manifestrations. Reports of osteomyelitis of jaw after trigeminal herpes zoster are extremely rare. We report a case of osteomyelitis on mandible caused by herpes zoster infection which was treated by antiviral drug, curettage. At 1 year post-operatively, mandibular mucosa had healed without recurrent sign. But post-herpetic neuralgia is remained.
KEYWORD
Varicella Zoster VirusOsteomyelitis, Post-herpetic neuralgia
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