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免疫功能正常的患者同时发生水痘和带状疱疹并伴有面神经麻痹。

Simultaneous Occurrence of Chicken Pox and Herpes Zoster with Facial Nerve Palsy in Immunocompetent Patient.

机构信息

DNB Medicine.

Senior Consultant.

出版信息

J Assoc Physicians India. 2022 Aug;70(8):11-12. doi: 10.5005/japi-11001-0075.

Abstract

Patients who earlier suffered from chicken pox may develop herpes zoster (HZ) due to reactivation in dorsal root ganglia. The occurrence of both clinical conditions at the same time is sporadic. Unusual presentation and a belligerent course are seen in immunocompromised hosts. The presence of both HZ and chicken pox in immunocompetent patients is infrequent and incoherent with the present understanding of pathogenesis. Here, we present a case of HZ involving the maxillary division of the right trigeminal nerve with simultaneous occurrence of varicella-zoster and right peripheral facial nerve palsy.

摘要

患者既往患水痘,可能因背根神经节再激活而发生带状疱疹(HZ)。这两种临床情况同时发生的情况较为罕见。免疫功能低下的宿主中可见到不典型表现和侵袭性病程。免疫功能正常的患者同时发生 HZ 和水痘的情况较为少见,且与目前对发病机制的认识不符。在此,我们报告一例右侧三叉神经上颌支的 HZ,同时伴有水痘-带状疱疹病毒和右侧周围性面神经麻痹。

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