Chatterjee A, Chattopadhyay A, Mandal S, De N, Hossain MA, Pakhira S. Delayed Presentation of Mandibular Osteonecrosis Following Herpes Zoster Infection - A Case Report.
Ann Maxillofac Surg 2023;
13:220-223. [PMID:
38405553 PMCID:
PMC10883223 DOI:
10.4103/ams.ams_42_23]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Revised: 06/09/2023] [Accepted: 07/03/2023] [Indexed: 02/27/2024] Open
Abstract
Rationale
Apart from the usual presentation of herpes zoster (HZ) infection (HZI), reports of spontaneous teeth exfoliation and osteonecrosis are infrequent and sporadic.
Patient Concerns
A 51-year-old male patient presented with spontaneous exfoliation of multiple teeth and subsequent pathological fracture on the right side of the lower jaw after three months of HZI.
Diagnosis
Biopsy was taken from the alveolar bone of the oedematous region, which revealed the presence of trabeculae of dead bone with empty lacunae.
Intervention
Necrosed part of the alveolar bone was excised under local anaesthesia and antibiotic coverage, which was followed by open reduction and internal fixation of the pathological fracture under general anaesthesia.
Outcomes
The patient was followed up for one year without any evidence of recurrences.
Take-away Lessons
Presentation of osteonecrosis following HZI is unique but rare and should be diagnosed at the earliest.
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