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Journal of Medical Society, RIMS Imphal - Regional Institute of ...

Journal of Medical Society, RIMS Imphal - Regional Institute of ...

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CASE REPORTHerpes zoster in a healthy adult:presentationsReport <strong>of</strong> a case with oro-cutaneous1Ng. Sangeeta, 2 W. Robindro Singh, 3 O.Brajachand SinghThe caseThe case concerned a well built 43yrs old male<strong>of</strong> medium height with no history <strong>of</strong> pastmedical illness and with a negative HIV status.He was not associated with any habits liketobacco or prohibitive drugs, though he tookalcohol occasionally. His blood sugar,complete hemogram, KFT, and LFT pr<strong>of</strong>ilewere within normal limits. He had a history <strong>of</strong>multiple tooth extraction related to dental cariesand hence was partially edentulous. On hisfirst visit, his main complaint was pain on theFig 2: unilateral distribution <strong>of</strong> vesicles covered withplague in the oral cavity.Fig 3: improvement <strong>of</strong> the oral lesions after 7 days <strong>of</strong>treatment.Fig 1: erythematous swelling with overlying vesicleson the left side <strong>of</strong> the face.1. Asst. Pr<strong>of</strong>., 2. Associate. Pr<strong>of</strong>. Deptt. <strong>of</strong> Dentistry,<strong>RIMS</strong>, <strong>Imphal</strong>., 3. Pr<strong>of</strong>. & Head, Department <strong>of</strong>Dentistry, <strong>RIMS</strong>, <strong>Imphal</strong>.Corresponding authorDr. W. Robindro Singh, Asst. Pr<strong>of</strong>. Deptt. <strong>of</strong> Dentistry,<strong>RIMS</strong>, <strong>Imphal</strong> – 795004, Manipur.Email: www.waikhomro@.yahoo.inleft cheek with a couple <strong>of</strong> painful white lesionsin the mouth associated with malaise. The oralulcers which were present in the buccalmucosa were non-specific, irregularlyshaped, whitish in colour, with anerythematous border and without thepresence <strong>of</strong> vesicles. Considering it to be anapthous ulcer we prescribed an analgesic,antiseptic mouth wash, a topical anaestheticgel, and a multivitamin. Three days later, hecame back complaining that his pain andlesions had become worse after theJMS * Vol 25 * No. 2 * May, 2011 99

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