PDF(Pubmed)
Abstract：
BACKGROUND: We present a case of a 29-year-old male patient without immunodeficiency who suffered from rapid osteonecrosis and tooth exfoliation resulting from herpes zoster (HZ) infection in the left maxillary branch of the trigeminal nerve. Various complications associated with shingles infections have been reported, cases of osteonecrosis and tooth exfoliation due to HZ infection among young people without immunodeficiency are rare. In this case, we focus on the particular manifestation of HZ infection.
METHODS: The patient presented with clusters of erythema and papules, along with non-hemorrhagic blisters on the left face and the loss of the left upper incisor. All lesions were localized to the left side of the face without exceeding the midline. After receiving antibacterial and antiviral treatment, successful control over the infection was achieved; however, he experienced the loss of all upper teeth on the left side except for the first and second upper left molars.
CONCLUSIONS: This case highlights that rapid osteonecrosis and tooth exfoliation may occur among young individuals without immunodeficiency after HZ infection. HZ infection of the face should be taken very seriously to obtain prompt treatment to prevent the rare complications of bone necrosis and tooth loss as much as possible.
METHODS: The patient presented with clusters of erythema and papules, along with non-hemorrhagic blisters on the left face and the loss of the left upper incisor. All lesions were localized to the left side of the face without exceeding the midline. After receiving antibacterial and antiviral treatment, successful control over the infection was achieved; however, he experienced the loss of all upper teeth on the left side except for the first and second upper left molars.
CONCLUSIONS: This case highlights that rapid osteonecrosis and tooth exfoliation may occur among young individuals without immunodeficiency after HZ infection. HZ infection of the face should be taken very seriously to obtain prompt treatment to prevent the rare complications of bone necrosis and tooth loss as much as possible.
摘要：
背景：我们介绍一例29岁无免疫缺陷的男性患者，因三叉神经左上颌支带状疱疹（HZ）感染导致快速骨坏死和牙齿脱落。已经报道了与带状疱疹感染相关的各种并发症，在没有免疫缺陷的年轻人中，很少有由于HZ感染引起的骨坏死和牙齿脱落的病例。在这种情况下,我们关注HZ感染的特殊表现。
方法：患者出现成簇的红斑和丘疹，伴随着左脸上的非出血性水泡和左上切牙的丢失。所有病变均位于面部左侧，不超过中线。在接受抗菌和抗病毒治疗后，成功控制了感染；然而，除了第一和第二左上磨牙外，他还经历了左侧所有上牙的脱落。
结论：该病例强调，在HZ感染后无免疫缺陷的年轻个体中可能发生快速骨坏死和牙齿脱落。应高度重视HZ面部感染，以及时治疗，以尽可能防止骨坏死和牙齿脱落等罕见并发症。
方法：患者出现成簇的红斑和丘疹，伴随着左脸上的非出血性水泡和左上切牙的丢失。所有病变均位于面部左侧，不超过中线。在接受抗菌和抗病毒治疗后，成功控制了感染；然而，除了第一和第二左上磨牙外，他还经历了左侧所有上牙的脱落。
结论：该病例强调，在HZ感染后无免疫缺陷的年轻个体中可能发生快速骨坏死和牙齿脱落。应高度重视HZ面部感染，以及时治疗，以尽可能防止骨坏死和牙齿脱落等罕见并发症。
