拔牙后麻醉后疱疹性病变——病例报告
Post-Anaesthetic Herpetic Lesion following Extraction - A Case Report.
作者信息
Balasubramaniyan Nathiya, Sakthi S, Bhagat M James Antony, Durairaj D, Ganesan Suresh Kumar
机构信息
Department of Oral and Maxillofacial Surgery, Adhiparasakthi Dental College and Hospital, Melmaruvathur, Tamil Nadu, India.
Department of Oral and Maxillofacial Surgery, Sri Venkateshwaraa Dental College and Hospital, Puducherry, India.
出版信息
Ann Maxillofac Surg. 2023 Jan-Jun;13(1):105-107. doi: 10.4103/ams.ams_210_22. Epub 2023 Jun 15.
RATIONALE
In Indian subcontinent, every adult may have suffered from chicken pox during their early childhood and harbour the virus, which eventually becomes inactive over years. These latent organisms can undergo sudden activation when triggered by injection of local anaesthesia in the oral cavity. Probably, some symptoms develop along the distribution of the nerve.
PATIENT CONCERNS
Here, we present a case report of a 55-year-old male patient who reported to us with post-anaesthetic herpetic lesion involving the face unilaterally and also a lesion present in the intraoral cavity not crossing the midline.
DIAGNOSIS
The patient was diagnosed as post-anaesthetic herpetic lesion.
TREATMENT
Symptomatic medical management was given.
OUTCOMES
On two month follow-up, the lesion was completely resolved and replaced by healthy tissue.
TAKE-AWAY LESSON: Medical history should also include a question about past experience with chicken pox before proceeding with extraction.
理论依据
在印度次大陆，每个成年人在幼儿期可能都患过水痘并携带该病毒，病毒最终会在数年内变得不活跃。这些潜伏的病原体在口腔局部麻醉注射引发时可能会突然激活。可能会沿着神经分布出现一些症状。
患者情况
在此，我们报告一例55岁男性患者，他因麻醉后出现单侧面部疱疹性病变以及口腔内不越过中线的病变前来就诊。
诊断
该患者被诊断为麻醉后疱疹性病变。
治疗
给予对症药物治疗。
结果
在两个月的随访中，病变完全消退，被健康组织取代。
经验教训
在进行拔牙手术前，病史询问还应包括关于过去水痘病史的问题。
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