Clinical and Cytopathological Traits of Herpes Zoster: A Report of Two Cases

 

Varshini Marimuthu¹, Dinakar Jayakumar², Gowri Shanmugasundaram¹

 

¹Department of Oral Pathology and Microbiology, Sri Ramakrishna Dental College and Hospital, Coimbatore,
Tamil Nadu, India
²Department of Oral Pathology and Microbiology, Rajas Dental College and Hospital, Tirunelveli,
Tamil Nadu, India

 

 SUMMARY

  

Introduction: Varicella zoster virus is a highly infectious α-herpesvirus, pathogenic only to humans. The primary infection of varicella zoster virus causes chickenpox, which is contagious and primarily infects children and adolescents in India. Following the primary infection, the virus remains dormant in sensory root ganglia. Activation of the dormant virus in later stages of life causes herpes zoster infection which may vary from subclinical infection to typical zoster, scattered vesicles, zoster sine herpete or disseminated zoster, which depends on the individual’s immune status.

Case report: In this case series, we present two patients with herpes zoster involving the mandibular branch of the trigeminal nerve. Cytology revealed characteristic features of the infection including nuclear moulding, multinucleated giant cells and ballooning degeneration.

Conclusion: More recently, patients presenting with herpes zoster have been reported to have sub-clinical Covid-19 infection, suggesting a possibility that herpes zoster might be an indicator for latent Covid-19. Timely detection and treatment of this infection can reduce the risk of post herpetic neuralgia.

 

Keywords: herpes zoster, cytology, multinucleated giant cells

 

Corresponding author:

Varshini Marimuthu

e-mail: varshini.sept13@gmail.com