Brooks John K, Rostami Arash M, McCorkle Douglas C, Benesh Samuel I
Department of Oncology and Diagnostic Sciences, University of Maryland School of Dentistry, Baltimore, MD, USA.
Department of General Dentistry, University of Maryland School of Dentistry, Baltimore, MD, USA.
Gerodontology. 2018 Sep;35(3):276-278. doi: 10.1111/ger.12340.
This article describes an atypical herpes zoster (HZ) infection heralded by prodromic dental pain.
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.
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.
After ruling out odontogenic pain, he was diagnosed with trigeminal HZ and Ramsay Hunt syndrome.
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.
本文描述了一种以牙前区疼痛为前驱症状的非典型带状疱疹（HZ）感染。
三叉神经带状疱疹与三叉神经的三个分支中的任何一个相关，而拉姆齐·亨特综合征是耳部HZ感染的一种罕见变体，常伴有单侧面神经麻痹。
一名87岁男性因牙样疼痛寻求治疗。在一周内，他出现了皮肤、口腔内和耳部皮疹、听力丧失以及轻度面神经麻痹。
排除牙源性疼痛后，他被诊断为三叉神经带状疱疹和拉姆齐·亨特综合征。
带状疱疹感染应被视为牙源性疼痛非典型表现的可能病因之一。三叉神经带状疱疹感染和拉姆齐·亨特综合征的诊断可能会促使及时使用抗病毒药物进行干预，并改善患者的预后。
