Herpes zoster mandubularis

Etiology

• reactivation of varicella-zoster virus

Clinical manifestations

case report'

• unilateral manifestations (lesions & pain) in the distribution of the mandibular nerve
• facial edema
• rash with vesicles, pustules, & crusts along the lower jaw,
• plaque covering anterior 2/3 of tongue
• lower facial pain, otalgia, & glossodynia preceding rash
• no neurologic deficits, meningeal signs, or lymphadenopathy

Complications

• postherpetic neuralgia

Management

• analgesic agents, including gabapentin
• acyclovir
• nystatin

More general terms

• Herpes zoster (shingles)