Herpes Zoster - Case Report

Herpes zoster javlja se i na sluznici usne šupljine prateći tok ogranaka n. trigeminusa. Dijagnozu olakšavaju istodobne patološke lezije na koži. Dijagnostički postupak dobro je dopuniti izolacijom virusa. Terapija se provodi djelovanjem na sve simptome koji prate bolest, kako slijedi: 1. virostatsko djelovanje (inhibitori sinteze proteina i antagonisti DNA polimeraze) i to u ranoj fazi bolesti - aciclovir, virolex; 2. antiupalna terapija za sprečavanje sekundarne infekcije; 3. analgetska terapija za smanjenje boli (anaesthesini - glyceroli za ispiranje usta); 4. terapija za postizavanje epitelizacije (solcoreryl, B-kompleks); 5. terapija za biostimulaciju tkiva (meki laser - zračenje).Herpes zoster may also affect oral mucosa following peripheral distribution of the trigeminal nerve. The diagnosis is facilitated by simultaneous occurrence o f pathologic skin alterations. The diagnosis should be confirmed by virus isolation. Therapeutic approach should be thus combined as to treat all the accompanying symptoms, i.e.: 1. virustatic behavior (protein synthesis inhibitors and DNA polymerization antagonists); acyclovir, virolex 2. antiinflammatory therapy to prevent secondary infection 3. analgetic therapy for pain relief 4. therapy for stimulation of epithelization; solcoreryl, B-complex 5. therapy for tissue biostimulation; soft laser} radiation