Matsuda Yuhei, Mizuno Ruriko, Miyajima Saki, Arakawa Shinichi, Kabasawa Yuji
Tokyo Medical and Dental University Hospital, Oral Health Center, Tokyo 113-8501, Japan.
Department of Lifetime Oral Health Care Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8501, Japan.
Healthcare (Basel). 2022 Nov 10;10(11):2249. doi: 10.3390/healthcare10112249.
Oral ulcers caused by herpes zoster virus infection are commonly encountered in daily clinical practice. However, in rare cases, sepsis or viremia can occur with serious outcomes; hence, these must be managed effectively. Here, we report a case of a patient with extensive ulceration caused by varicella zoster virus infection. Antiviral treatment was started early, and oral health management was started simultaneously, with oral hygiene instructions for pain control. As a result, the patient was able to resume oral food intake and was discharged from the hospital within a week. This case suggested that oral health management comprising supportive care, with the assistance of dentists and dental hygienists, as well as antiviral therapy, are important in the treatment of oral ulcers associated with herpes zoster virus infection.
带状疱疹病毒感染引起的口腔溃疡在日常临床实践中较为常见。然而，在罕见情况下，可能会发生败血症或病毒血症，并导致严重后果；因此，必须对其进行有效管理。在此，我们报告一例由水痘带状疱疹病毒感染引起广泛溃疡的患者。早期开始抗病毒治疗，并同时开始口腔健康管理，包括进行口腔卫生指导以控制疼痛。结果，患者能够恢复经口进食，并在一周内出院。该病例表明，在牙科医生和口腔卫生士的协助下，包括支持性护理的口腔健康管理以及抗病毒治疗，对于治疗带状疱疹病毒感染相关的口腔溃疡很重要。
