Herpes Zoster Induced Osteomyelitis in the Immunocompromised Patients: A 10-year Multicenter Study
Identifieur interne : 001160 ( Ncbi/Curation ); précédent : 001159; suivant : 001161Herpes Zoster Induced Osteomyelitis in the Immunocompromised Patients: A 10-year Multicenter Study
Auteurs : Reza Tabrizi [Iran] ; Ali Dehghani Nazhvani [Iran] ; Amir Vahedi [Iran] ; Mehdi Gholami [Iran] ; Raziyeh Zare [Iran] ; Raha Etemadi Parsa [Iran]Source :
- Journal of Dentistry [ 2345-6485 ] ; 2014.
Abstract
Url:
PubMed: 25191659
PubMed Central: 4149892
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PMC:4149892Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Herpes Zoster Induced Osteomyelitis in the Immunocompromised Patients: A 10-year Multicenter Study</title>
<author><name sortKey="Tabrizi, Reza" sort="Tabrizi, Reza" uniqKey="Tabrizi R" first="Reza" last="Tabrizi">Reza Tabrizi</name>
<affiliation wicri:level="1"><nlm:aff id="affa"> Dept. of Craniomaxillofacial Surgery, School of Dentistry, Shiraz University of Medical Science, Shiraz, Iran.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Iran</country>
<wicri:regionArea> Dept. of Craniomaxillofacial Surgery, School of Dentistry, Shiraz University of Medical Science, Shiraz</wicri:regionArea>
<wicri:noRegion>Shiraz</wicri:noRegion>
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<author><name sortKey="Dehghani Nazhvani, Ali" sort="Dehghani Nazhvani, Ali" uniqKey="Dehghani Nazhvani A" first="Ali" last="Dehghani Nazhvani">Ali Dehghani Nazhvani</name>
<affiliation wicri:level="1"><nlm:aff id="affb"> Dept. of Oral and Maxillofacial Pathology, School of Dentistry, Shiraz University of Medical Science, Shiraz, Iran.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Iran</country>
<wicri:regionArea> Dept. of Oral and Maxillofacial Pathology, School of Dentistry, Shiraz University of Medical Science, Shiraz</wicri:regionArea>
<wicri:noRegion>Shiraz</wicri:noRegion>
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<author><name sortKey="Vahedi, Amir" sort="Vahedi, Amir" uniqKey="Vahedi A" first="Amir" last="Vahedi">Amir Vahedi</name>
<affiliation wicri:level="1"><nlm:aff id="affc"> Dept. of Pathology, Tabriz University of Medical Science,Tabriz, Iran.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Iran</country>
<wicri:regionArea> Dept. of Pathology, Tabriz University of Medical Science,Tabriz</wicri:regionArea>
<wicri:noRegion>Tabriz</wicri:noRegion>
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<author><name sortKey="Gholami, Mehdi" sort="Gholami, Mehdi" uniqKey="Gholami M" first="Mehdi" last="Gholami">Mehdi Gholami</name>
<affiliation wicri:level="1"><nlm:aff id="affd"> Dept. of Maxillofacial Surgery, Mashhad University of Medical Science, Mashhad, Iran.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Iran</country>
<wicri:regionArea> Dept. of Maxillofacial Surgery, Mashhad University of Medical Science, Mashhad</wicri:regionArea>
<wicri:noRegion>Mashhad</wicri:noRegion>
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<author><name sortKey="Zare, Raziyeh" sort="Zare, Raziyeh" uniqKey="Zare R" first="Raziyeh" last="Zare">Raziyeh Zare</name>
<affiliation wicri:level="1"><nlm:aff id="affe"> Postgraduate Student of Oral and Maxillofacial Pathology, Shiraz University of Medical Science, Shiraz, Iran.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Iran</country>
<wicri:regionArea> Postgraduate Student of Oral and Maxillofacial Pathology, Shiraz University of Medical Science, Shiraz</wicri:regionArea>
<wicri:noRegion>Shiraz</wicri:noRegion>
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<author><name sortKey="Etemadi Parsa, Raha" sort="Etemadi Parsa, Raha" uniqKey="Etemadi Parsa R" first="Raha" last="Etemadi Parsa">Raha Etemadi Parsa</name>
<affiliation wicri:level="1"><nlm:aff id="affe"> Postgraduate Student of Oral and Maxillofacial Pathology, Shiraz University of Medical Science, Shiraz, Iran.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Iran</country>
<wicri:regionArea> Postgraduate Student of Oral and Maxillofacial Pathology, Shiraz University of Medical Science, Shiraz</wicri:regionArea>
<wicri:noRegion>Shiraz</wicri:noRegion>
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<series><title level="j">Journal of Dentistry</title>
<idno type="ISSN">2345-6485</idno>
<idno type="eISSN">2345-6418</idno>
<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><p><bold>Statement of the Problem: </bold>
Alveolar bone necrosis induced by Herpes zoster infection is considered as a rare manifestation of osteomyelitis and few case reports are presented in the literature.
</p>
<p><bold>Purpose: </bold>
The aim of this study was to evaluate mandibular osteomyelitis caused by herpes zoster in the immunocompromised patients with histopathologically documented osteomyelitis in the mandible and herpes zoster infection.
</p>
<p><bold>Materials and Method:</bold>
30 patients were recruited in this cross-sectional study. 19 patients were completely edentulous, 4 patients were partially edentulous and 7 with complete dentition. In all cases, specimens were analyzed using a conventional polymerase chain reaction (PCR) test for varicella zoster virus.
</p>
<p><bold>Results: </bold>
16 patients underwent dialysis, 9 patients received chemotherapy treatments and 5 patients had transplantation (four kidneys and one liver). Histopathological assessment demonstrated a nonspecific bone necrosis exhibiting an eosinophilic, homogeneous non-vital bone tissue with peripheral resorption surrounded by reactive connective tissue. PCR test was positive in 21 cases.
</p>
<p><bold>Conclusion: </bold>
This study demonstrated that the frequency of osteomyelitis induced by herpes zoster could be more than the records provided by previous studies. Histopathological findings might be nonspecific in such patients. PCR test was not positive for all HZ induced osteomyelitis patients<bold>.</bold>
</p>
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