Herpes zoster with complications in elderly patients
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/18654 |
Resumo: | Herpes Zoster (HZ) is an acute infection caused by the varicella-zoster virus, when it reactivates latent in nerve cells of individuals who have had chickenpox. The mechanism of viral reactivation is still unknown, but it is believed to be related to some type of immunity deficiency. The disease most commonly affects immunosuppressed and elderly individuals. Clinically, it is characterized by vesiculobullous lesions distributed in the region innervated by the affected nerve, causing severe pain. This article reports two cases in elderly patients who complained of oral and cutaneous lesions with painful symptoms. In both cases the lesions involved the trigeminal nerve, with hearing impairment. The cases evolved with complications such as Postherpetic Neuralgia and Ramsay Hunt Syndrome. Antiviral, analgesic, antibiotic and laser therapy were prescribed. In none of the cases there was a recurrence within the 3-year follow-up period. Dental surgeons need to be aware of vesicular lesions - bullous that affect the skin and mucous membranes unilaterally, accompanied by symptoms of itching and pain, especially in the elderly, as they are at increased risk of developing HZ with complications and need for hospitalization. |
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Herpes zoster with complications in elderly patientsHerpes zoster con complicaciones en pacientes ancianosHerpes zoster com complicações em pacientes idososHerpes ZosterVirus Varicela ZosterEnvejecimientoGeriatríaNeuralgia.Herpes ZosterVírus Varicela ZosterEnvelhecimentoGeriatriaNevralgia.Herpes ZosterVaricella Zoster VirusAgingGeriatricsNeuralgia.Herpes Zoster (HZ) is an acute infection caused by the varicella-zoster virus, when it reactivates latent in nerve cells of individuals who have had chickenpox. The mechanism of viral reactivation is still unknown, but it is believed to be related to some type of immunity deficiency. The disease most commonly affects immunosuppressed and elderly individuals. Clinically, it is characterized by vesiculobullous lesions distributed in the region innervated by the affected nerve, causing severe pain. This article reports two cases in elderly patients who complained of oral and cutaneous lesions with painful symptoms. In both cases the lesions involved the trigeminal nerve, with hearing impairment. The cases evolved with complications such as Postherpetic Neuralgia and Ramsay Hunt Syndrome. Antiviral, analgesic, antibiotic and laser therapy were prescribed. In none of the cases there was a recurrence within the 3-year follow-up period. Dental surgeons need to be aware of vesicular lesions - bullous that affect the skin and mucous membranes unilaterally, accompanied by symptoms of itching and pain, especially in the elderly, as they are at increased risk of developing HZ with complications and need for hospitalization.El herpes zoster (HZ) es una infección aguda causada por el virus varicela-zoster, cuando se reactiva latente en las células nerviosas de personas que han tenido varicela. El mecanismo de reactivación viral aún se desconoce, pero se cree que está relacionado con algún tipo de deficiencia inmunitaria. La enfermedad afecta con mayor frecuencia a personas inmunodeprimidas y de edad avanzada. Clínicamente se caracteriza por lesiones vesiculobullosas distribuidas en la región inervada por el nervio afectado, que provocan dolor severo. Este artículo reporta dos casos en pacientes ancianos que se quejaron de lesiones orales y cutáneas con síntomas dolorosos. En ambos casos, las lesiones afectaron al nervio trigémino, presentaron discapacidad auditiva. Los casos evolucionaron con complicaciones como la neuralgia posherpética y el síndrome de Ramsay Hunt. Se prescribió terapia antiviral, analgésica, antibiótica y láser. En ninguno de los casos hubo recurrencia dentro del período de seguimiento de 3 años. Los cirujanos dentistas deben estar atentos a las lesiones vesiculares: ampollosas que afectan la piel y las membranas mucosas de manera unilateral, acompañadas de síntomas de picazón y dolor, especialmente en los ancianos, ya que tienen un mayor riesgo de desarrollar HZ con complicaciones y necesidad de hospitalización.Herpes Zoster (HZ) é uma infecção aguda causada pelo vírus varicela-zoster, quando ocorre reativação do mesmo que está latente em células nervosas de indivíduos que tiveram varicela. O mecanismo da reativação viral ainda é desconhecido, porém acredita-se que esteja relacionado com algum tipo de deficiência na imunidade. A doença afeta mais comumente indivíduos imunossuprimidos e idosos. Clinicamente se caracteriza por lesões vesículo- bolhosas distribuídas na região inervada pelo nervo afetado, causando dores intensas. Este artigo relata dois casos em pacientes idosos que se queixavam de lesões bucais e cutâneas com sintomatologia dolorosa. Em ambos os casos as lesões envolviam o nervo trigêmeo e evoluíram apresentando complicações como a Neuralgia Pós-Herpética e a Síndrome de Ramsay Hunt. Foi prescrito antiviral, analgésico, antibiótico e laserterapia. Em nenhum dos casos ocorreu recidiva no espaço de proservação de 3 anos. O cirurgião-dentista precisa estar atento às lesões vesículo - bolhosas que acometem a pele e as mucosas de forma unilateral, acompanhadas de sintomas de prurido e dor, especialmente em idosos, por apresentarem risco aumentado de desenvolver HZ com complicações e necessidade de hospitalização.Research, Society and Development2021-08-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1865410.33448/rsd-v10i10.18654Research, Society and Development; Vol. 10 No. 10; e208101018654Research, Society and Development; Vol. 10 Núm. 10; e208101018654Research, Society and Development; v. 10 n. 10; e2081010186542525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/18654/16750Copyright (c) 2021 Mariana Silva Barros; Janaína Alves Benício; Lino João da Costa; Paulo Rogério Ferreti Bonan; Daniel Furtado Silva; Ana Carolina Lyra de Albuquerque; Maria Sueli Marques Soareshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBarros, Mariana Silva Benício, Janaína Alves Costa, Lino João da Bonan, Paulo Rogério Ferreti Silva, Daniel Furtado Albuquerque, Ana Carolina Lyra de Soares, Maria Sueli Marques 2021-10-02T21:49:16Zoai:ojs.pkp.sfu.ca:article/18654Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:38:44.123743Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Herpes zoster with complications in elderly patients Herpes zoster con complicaciones en pacientes ancianos Herpes zoster com complicações em pacientes idosos |
title |
Herpes zoster with complications in elderly patients |
spellingShingle |
Herpes zoster with complications in elderly patients Barros, Mariana Silva Herpes Zoster Virus Varicela Zoster Envejecimiento Geriatría Neuralgia. Herpes Zoster Vírus Varicela Zoster Envelhecimento Geriatria Nevralgia. Herpes Zoster Varicella Zoster Virus Aging Geriatrics Neuralgia. |
title_short |
Herpes zoster with complications in elderly patients |
title_full |
Herpes zoster with complications in elderly patients |
title_fullStr |
Herpes zoster with complications in elderly patients |
title_full_unstemmed |
Herpes zoster with complications in elderly patients |
title_sort |
Herpes zoster with complications in elderly patients |
author |
Barros, Mariana Silva |
author_facet |
Barros, Mariana Silva Benício, Janaína Alves Costa, Lino João da Bonan, Paulo Rogério Ferreti Silva, Daniel Furtado Albuquerque, Ana Carolina Lyra de Soares, Maria Sueli Marques |
author_role |
author |
author2 |
Benício, Janaína Alves Costa, Lino João da Bonan, Paulo Rogério Ferreti Silva, Daniel Furtado Albuquerque, Ana Carolina Lyra de Soares, Maria Sueli Marques |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Barros, Mariana Silva Benício, Janaína Alves Costa, Lino João da Bonan, Paulo Rogério Ferreti Silva, Daniel Furtado Albuquerque, Ana Carolina Lyra de Soares, Maria Sueli Marques |
dc.subject.por.fl_str_mv |
Herpes Zoster Virus Varicela Zoster Envejecimiento Geriatría Neuralgia. Herpes Zoster Vírus Varicela Zoster Envelhecimento Geriatria Nevralgia. Herpes Zoster Varicella Zoster Virus Aging Geriatrics Neuralgia. |
topic |
Herpes Zoster Virus Varicela Zoster Envejecimiento Geriatría Neuralgia. Herpes Zoster Vírus Varicela Zoster Envelhecimento Geriatria Nevralgia. Herpes Zoster Varicella Zoster Virus Aging Geriatrics Neuralgia. |
description |
Herpes Zoster (HZ) is an acute infection caused by the varicella-zoster virus, when it reactivates latent in nerve cells of individuals who have had chickenpox. The mechanism of viral reactivation is still unknown, but it is believed to be related to some type of immunity deficiency. The disease most commonly affects immunosuppressed and elderly individuals. Clinically, it is characterized by vesiculobullous lesions distributed in the region innervated by the affected nerve, causing severe pain. This article reports two cases in elderly patients who complained of oral and cutaneous lesions with painful symptoms. In both cases the lesions involved the trigeminal nerve, with hearing impairment. The cases evolved with complications such as Postherpetic Neuralgia and Ramsay Hunt Syndrome. Antiviral, analgesic, antibiotic and laser therapy were prescribed. In none of the cases there was a recurrence within the 3-year follow-up period. Dental surgeons need to be aware of vesicular lesions - bullous that affect the skin and mucous membranes unilaterally, accompanied by symptoms of itching and pain, especially in the elderly, as they are at increased risk of developing HZ with complications and need for hospitalization. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-08-08 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/18654 10.33448/rsd-v10i10.18654 |
url |
https://rsdjournal.org/index.php/rsd/article/view/18654 |
identifier_str_mv |
10.33448/rsd-v10i10.18654 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/18654/16750 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 10; e208101018654 Research, Society and Development; Vol. 10 Núm. 10; e208101018654 Research, Society and Development; v. 10 n. 10; e208101018654 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052787731726336 |