{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T14:17:05Z","timestamp":1775744225928,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,8,20]],"date-time":"2018-08-20T00:00:00Z","timestamp":1534723200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Gerodontology"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This article describes an atypical herpes zoster (<jats:styled-content style=\"fixed-case\">HZ<\/jats:styled-content>) infection heralded by prodromic dental pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Trigeminal <jats:styled-content style=\"fixed-case\">HZ<\/jats:styled-content> is associated with any of the three divisions of the trigeminal nerve, and Ramsay Hunt syndrome is a rare variant of <jats:styled-content style=\"fixed-case\">HZ<\/jats:styled-content> infection of the ear, often accompanied with unilateral facial nerve palsy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>An 87\u2010year\u2010old man sought remedy for tooth\u2010like pain. Within a week, he developed cutaneous, intraoral and otic eruptions, hearing loss, and mild facial palsy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After ruling out odontogenic pain, he was diagnosed with trigeminal <jats:styled-content style=\"fixed-case\">HZ<\/jats:styled-content> and Ramsay Hunt syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Herpes zoster infection should be included as a possible aetiologic factor with atypical presentations of odontogenic pain. Diagnosis of trigeminal <jats:styled-content style=\"fixed-case\">HZ<\/jats:styled-content> infection and the Ramsay Hunt syndrome may lead to timely intervention with antivirals and improved patient outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ger.12340","type":"journal-article","created":{"date-parts":[[2018,8,22]],"date-time":"2018-08-22T17:22:17Z","timestamp":1534958537000},"page":"276-278","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Trigeminal herpes zoster and Ramsay Hunt syndrome in an elderly adult: Presentation with prodromal toothache"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6634-8470","authenticated-orcid":false,"given":"John K.","family":"Brooks","sequence":"first","affiliation":[{"name":"Department of Oncology and Diagnostic Sciences University of Maryland School of Dentistry  Baltimore MD USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9822-0196","authenticated-orcid":false,"given":"Arash M.","family":"Rostami","sequence":"additional","affiliation":[{"name":"Department of General Dentistry University of Maryland School of Dentistry  Baltimore MD USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas C.","family":"McCorkle","sequence":"additional","affiliation":[{"name":"Private practice, Otolaryngology  Owings Mills MD USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel I.","family":"Benesh","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Sinai Hospital of Baltimore  Baltimore MD USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiw047"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.822"},{"key":"e_1_2_6_4_1","article-title":"Herpes zoster prevention: a difficult problem to solve","author":"Esposito S","journal-title":"Vaccine"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1603800"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1610-0387.2012.07894_suppl.x"},{"key":"e_1_2_6_7_1","article-title":"Herpes zoster on the face in the elderly","author":"Nair P","journal-title":"BMJ Case Rep"},{"key":"e_1_2_6_8_1","first-page":"ZD40","article-title":"Herpes zoster with post herpetic neuralgia involving the right maxillary branch of trigeminal nerve: a case report and review of literature","volume":"11","author":"Francis M","year":"2017","journal-title":"J Clin Diagn Res"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/ccd.ccd_1099_16"},{"key":"e_1_2_6_10_1","first-page":"641","article-title":"Atypical facial pain\u2014a diagnostic challenge","volume":"34","author":"Quail G","year":"2005","journal-title":"Aust Fam Physician"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12246"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2013.13"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-016-0548-x"}],"container-title":["Gerodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fger.12340","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ger.12340","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T03:00:26Z","timestamp":1695006026000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ger.12340"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,20]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1111\/ger.12340"],"URL":"https:\/\/doi.org\/10.1111\/ger.12340","archive":["Portico"],"relation":{},"ISSN":["0734-0664","1741-2358"],"issn-type":[{"value":"0734-0664","type":"print"},{"value":"1741-2358","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8,20]]},"assertion":[{"value":"2018-03-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-08-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}