Herpes Zoster Induced Osteomyelitis in the Immunocompromised Patients: A 10-year Multicenter Study
Identifieur interne : 000296 ( Pmc/Checkpoint ); précédent : 000295; suivant : 000297Herpes 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.
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PubMed: 25191659
PubMed Central: 4149892
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">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></affiliation></author><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></affiliation></author><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></affiliation></author><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></affiliation></author><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></affiliation></author><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></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25191659</idno><idno type="pmc">4149892</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4149892</idno><idno type="RBID">PMC:4149892</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000634</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000634</idno><idno type="wicri:Area/Pmc/Curation">000634</idno><idno type="wicri:explorRef" wicri:stream="Pmc" 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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></affiliation></author><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></affiliation></author><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></affiliation></author><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></affiliation></author><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></affiliation></author></analytic><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></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><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></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Johnson, Rw" uniqKey="Johnson R">RW Johnson</name></author><author><name sortKey="Dworkin, Rh" uniqKey="Dworkin R">RH Dworkin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kennedy, Pg" uniqKey="Kennedy P">PG Kennedy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Peterslund, Na" uniqKey="Peterslund N">NA Peterslund</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gilden, Dh" uniqKey="Gilden D">DH Gilden</name></author><author><name sortKey="Cohrs, Rj" uniqKey="Cohrs R">RJ Cohrs</name></author><author><name sortKey="Mahalingam, R" uniqKey="Mahalingam R">R Mahalingam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dworkin, Rh" uniqKey="Dworkin R">RH Dworkin</name></author><author><name sortKey="Johnson, Rw" uniqKey="Johnson R">RW Johnson</name></author><author><name sortKey="Breuer, J" uniqKey="Breuer J">J Breuer</name></author><author><name sortKey="Gnann, Jw" uniqKey="Gnann J">JW Gnann</name></author><author><name sortKey="Levin, Mj" uniqKey="Levin M">MJ Levin</name></author><author><name sortKey="Backonja, M" uniqKey="Backonja M">M Backonja</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cunningham, Al" uniqKey="Cunningham A">AL Cunningham</name></author><author><name sortKey="Breuer, J" uniqKey="Breuer J">J Breuer</name></author><author><name sortKey="Dwyer, De" uniqKey="Dwyer D">DE Dwyer</name></author><author><name sortKey="Gronow, Dw" uniqKey="Gronow D">DW Gronow</name></author><author><name sortKey="Helme, Rd" uniqKey="Helme R">RD Helme</name></author><author><name sortKey="Litt, Jc" uniqKey="Litt J">JC Litt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Owotade, Fj" uniqKey="Owotade F">FJ Owotade</name></author><author><name sortKey="Ugboko, Vi" uniqKey="Ugboko V">VI Ugboko</name></author><author><name sortKey="Bamidele, K" uniqKey="Bamidele K">K Bamidele</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mendieta, C" uniqKey="Mendieta C">C Mendieta</name></author><author><name sortKey="Miranda, J" uniqKey="Miranda J">J Miranda</name></author><author><name sortKey="Brunet, Li" uniqKey="Brunet L">LI Brunet</name></author><author><name sortKey="Gargallo, J" uniqKey="Gargallo J">J Gargallo</name></author><author><name sortKey="Berini, L" uniqKey="Berini L">L Berini</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ramchandani, Pl" uniqKey="Ramchandani P">PL Ramchandani</name></author><author><name sortKey="Mellor, Tk" uniqKey="Mellor T">TK Mellor</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mahima, Vg" uniqKey="Mahima V">VG Mahima</name></author><author><name sortKey="Patil, K" uniqKey="Patil K">K Patil</name></author><author><name sortKey="Srikanth, Hs" uniqKey="Srikanth H">HS Srikanth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jain, Mk" uniqKey="Jain M">MK Jain</name></author><author><name sortKey="Manjunath, Ks" uniqKey="Manjunath K">KS Manjunath</name></author><author><name sortKey="Jagadish, Sn" uniqKey="Jagadish S">SN Jagadish</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ertvaag, Gm" uniqKey="Ertvaag G">GM Ertvaag</name></author><author><name sortKey="Haakonsen, Mo" uniqKey="Haakonsen M">MO Haakonsen</name></author><author><name sortKey="Gudmundsen, Te" uniqKey="Gudmundsen T">TE Gudmundsen</name></author><author><name sortKey="Hoyer, H" uniqKey="Hoyer H">H Hoyer</name></author><author><name sortKey="Solheim, Dm" uniqKey="Solheim D">DM Solheim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Delbrouck Poot, F" uniqKey="Delbrouck Poot F">F Delbrouck Poot</name></author><author><name sortKey="Reginster, Jp" uniqKey="Reginster J">JP Reginster</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mintz, Sm" uniqKey="Mintz S">SM Mintz</name></author><author><name sortKey="Anavi, Y" uniqKey="Anavi Y">Y Anavi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meer, S" uniqKey="Meer S">S Meer</name></author><author><name sortKey="Coleman, H" uniqKey="Coleman H">H Coleman</name></author><author><name sortKey="Altini, M" uniqKey="Altini M">M Altini</name></author><author><name sortKey="Alexander, T" uniqKey="Alexander T">T Alexander</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Volvoikar, P" uniqKey="Volvoikar P">P Volvoikar</name></author><author><name sortKey="Patil, S" uniqKey="Patil S">S Patil</name></author><author><name sortKey="Dinkar, A" uniqKey="Dinkar A">A Dinkar</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Dent (Shiraz)</journal-id><journal-id journal-id-type="iso-abbrev">J Dent (Shiraz)</journal-id><journal-id journal-id-type="publisher-id">JDS</journal-id><journal-title-group><journal-title>Journal of Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2345-6485</issn><issn pub-type="epub">2345-6418</issn><publisher><publisher-name>Shiraz University of Medical Sciences</publisher-name><publisher-loc>Shiraz, Iran</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25191659</article-id><article-id pub-id-type="pmc">4149892</article-id><article-id pub-id-type="publisher-id">jds-15-112</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Herpes Zoster Induced Osteomyelitis in the Immunocompromised Patients: A 10-year Multicenter Study</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Tabrizi</surname><given-names>Reza</given-names></name><xref ref-type="aff" rid="affa">a</xref></contrib><contrib contrib-type="author"><name><surname>Dehghani Nazhvani</surname><given-names>Ali</given-names></name><xref ref-type="aff" rid="affb">b</xref></contrib><contrib contrib-type="author"><name><surname>Vahedi</surname><given-names>Amir</given-names></name><xref ref-type="aff" rid="affc">c</xref></contrib><contrib contrib-type="author"><name><surname>Gholami</surname><given-names>Mehdi</given-names></name><xref ref-type="aff" rid="affd">d</xref></contrib><contrib contrib-type="author"><name><surname>Zare</surname><given-names>Raziyeh</given-names></name><xref ref-type="aff" rid="affe">e</xref></contrib><contrib contrib-type="author"><name><surname>Etemadi Parsa</surname><given-names>Raha</given-names></name><xref ref-type="aff" rid="affe">e</xref></contrib></contrib-group><aff id="affa"><label>a</label> Dept. of Craniomaxillofacial Surgery, School of Dentistry, Shiraz University of Medical Science, Shiraz, Iran.</aff><aff id="affb"><label>b</label> Dept. of Oral and Maxillofacial Pathology, School of Dentistry, Shiraz University of Medical Science, Shiraz, Iran.</aff><aff id="affc"><label>c</label> Dept. of Pathology, Tabriz University of Medical Science,Tabriz, Iran.</aff><aff id="affd"><label>d</label> Dept. of Maxillofacial Surgery, Mashhad University of Medical Science, Mashhad, Iran.</aff><aff id="affe"><label>e</label> Postgraduate Student of Oral and Maxillofacial Pathology, Shiraz University of Medical Science, Shiraz, Iran.</aff><author-notes><corresp id="cor">Correspondence: Tabrizi R., CMF ward, Chamran Hospital, Chamran Avenue, Shiraz, Iran. Tel: +98-6263193-4 Email: tabmed@gmail.com </corresp></author-notes><pub-date pub-type="ppub"><month>9</month><year>2014</year></pub-date><volume>15</volume><issue>3</issue><fpage>112</fpage><lpage>116</lpage><history><date date-type="received"><month>7</month><year>2013</year></date><date date-type="received"><month>12</month><year>2013</year></date><date date-type="accepted"><month>5</month><year>2014</year></date></history><permissions><copyright-statement>© 2014: Journal of dentistry (Shiraz)</copyright-statement><license><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/3.0/">http://creativecommons.org/licenses/by/3.0/</ext-link>) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
</license-p></license></permissions><abstract><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></abstract><kwd-group><title>Key Words</title><kwd>Zona</kwd><kwd>Osteomyelitis</kwd><kwd>Mandible</kwd><kwd>Herpes zoster</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Iran</li></country></list><tree><country name="Iran"><noRegion><name sortKey="Tabrizi, Reza" sort="Tabrizi, Reza" uniqKey="Tabrizi R" first="Reza" last="Tabrizi">Reza Tabrizi</name></noRegion><name sortKey="Dehghani Nazhvani, Ali" sort="Dehghani Nazhvani, Ali" uniqKey="Dehghani Nazhvani A" first="Ali" last="Dehghani Nazhvani">Ali Dehghani Nazhvani</name><name sortKey="Etemadi Parsa, Raha" sort="Etemadi Parsa, Raha" uniqKey="Etemadi Parsa R" first="Raha" last="Etemadi Parsa">Raha Etemadi Parsa</name><name sortKey="Gholami, Mehdi" sort="Gholami, Mehdi" uniqKey="Gholami M" first="Mehdi" last="Gholami">Mehdi Gholami</name><name sortKey="Vahedi, Amir" sort="Vahedi, Amir" uniqKey="Vahedi A" first="Amir" last="Vahedi">Amir Vahedi</name><name sortKey="Zare, Raziyeh" sort="Zare, Raziyeh" uniqKey="Zare R" first="Raziyeh" last="Zare">Raziyeh Zare</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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