Herpes Zoster Involving Maxillary and Mandibular Branch of Trigeminal Nerve in HIV Patient: A Case Report

Contributors: 1Assistant Professor, Department of Oral Medicine & Radiology, Bharati Vidyapeeth Dental College & Hospital, Pune, Maharashtra, India; 2Professor & Head, Department of Oral Medicine & Radiology, Bharati Vidyapeeth Dental College & Hospital, Pune, Maharashtra, India; 3Senior Lecturer, Department of Oral Medicine & Radiology, Sinhgad Dental College & Hospital, Pune, Maharashtra, India; 4Associate Professor, Department of Orthodontics, Index Institute of Dental Sciences, Indore Correspondence: Dr. Hiremutt D. Department of Oral Medicine & Radiology, Bharati Vidyapeeth Dental College & Hospital, Pune, Maharashtra, India. Email: [email protected] How to cite the article: Hiremutt D, Mhapuskar A, Kalyanpur K, Jadhav S, Jadhav A. Herpes zoster involving maxillary and mandibular branch of the trigeminal nerve in HIV patient: A case report. J Int Oral Health 2016;8(4):1-4. Abstract: Herpes zoster (HZ) or shingles consist of a reactivation of the Varicella Zoster virus that had entered cutaneous nerve endings through an earlier occurrence of chicken pox, passes to the dorsal root ganglia and resides there in a latent form. Nerves usually involved are C3, T5, L1, L2, and the fi rst division of trigeminal nerve. The characteristic appearance of this condition is occurrence of multiple, unilateral, painful vesicles, and ulceration involving a single dermatome. The infection commonly aff ects elderly individuals, however if present in the younger age group, raises the suspicion of immunocompromised status such as acquired immuno defi ciency syndrome (AIDS)/human immunodefi ciency virus. In this case report, we present a patient with AIDS who developed HZ of the left side involving the maxillary and mandibular divisions of the trigeminal nerve. The patient presented with unilateral crustations involving the left side of lower and middle one-third of the face along the tract of the trigeminal nerve, intra-orally involving buccal and labial mucosa ipsilaterally.