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   Table of Contents      
CASE REPORT
Year : 1987  |  Volume : 35  |  Issue : 3  |  Page : 160-161

Herpes zoster maxillaries-a case report


State Institute of Ophthalmology, M .D. Eye Hospital, Allahabad, India

Correspondence Address:
M P Tandon
State Institute of Ophthalmology, M .D. Eye Hospital, Allahabad
India
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Source of Support: None, Conflict of Interest: None


PMID: 3507414

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  Abstract 

Herpes Zoster Maxillaris in an adult is being reported He had varicella infection in his adolescence.


How to cite this article:
Tandon M P, Verma S K. Herpes zoster maxillaries-a case report. Indian J Ophthalmol 1987;35:160-1

How to cite this URL:
Tandon M P, Verma S K. Herpes zoster maxillaries-a case report. Indian J Ophthalmol [serial online] 1987 [cited 2019 Aug 23];35:160-1. Available from: http://www.ijo.in/text.asp?1987/35/3/160/26190


  Introduction Top


Herpes Zoster is a severe disease occurring usually in adults The Varicella-Zoster virus has long been suspected as the causative organism

In Herpes Zoster the Ophthalmic branch involve­ment is very common but maxillary branch of Vth cranial nerve involvement is very rare. Therefore a case of Herpes Zoster maxillaris is being reported


  Case Report Top


Mr. RP. Azad 25 years came to the State Institute of Ophthalmology(Allahabad) with complaints of severe pain on the left side of his face since 4 days This was followed by swelling of lower lid and appearance of vesicles on the lower lid and cheek associated with fever.

On examination there were areas of hyperaesthesia followed by eruption of vesicles along the distri­bution of maxillary division of 5th cranial nerve.

Vesicles were distributed on the lower lid and the area between lower lid and upper lip. They contained clear fluid and went on increasing in size for a few days The cornea was not involved at any stage.

Investigations : Haemogram and urine for routine and microscopic examination were within normal limits

The patient was treated with local and systemic antibiotics The skin lesions were treated by applying callamine lotion. Cortisone 60 mg daily and Vit C 500 mg BD orally were given The symptoms subsided after a fortnight Cortisone was gradually tapered off.

The vesicles left pitted scars On follow up post herpetic neuralgia was minimal lasting for 2 months


  Discussion Top


The diagnosis was made on the basis of the typical distribution of vesicles along the distri­bution of the maxillary division of Trigeminal nerve. In this condition there was involvement of Gasserian ganglion of Trigeminal nerve by Vari­cella-Zoster virus. Usually ophthalmic branch of Vth nerve is involved but very rarely maxillary branch of 5th cranial nerve may get involved. To minimise the post-herpetic neuralgia heavy doses of cortisone should be given.[2]

 
  References Top

1.
Duke-Elder 1965-System of Ophthalmology, Henry Kempton, London, reprint, 1973  Back to cited text no. 1
    
2.
Sorsby A 1972, Modern Ophthalmology. Butter­ worth & Co. Ltd. 2nd edition  Back to cited text no. 2
    


    Figures

  [Figure - 1], [Figure - 2]



 

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Discussion
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