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Herpes Zoster

What is herpes zoster?

Herpes zoster (shingles) is a painful, blistering skin rash due to acute infection with the varicella-zoster virus, the virus that causes chickenpox.

After you get chickenpox, the virus falls asleep (becomes dormant) in certain nerves in the body. Shingles occurs after the virus becomes reactive in these nerves after many years. The reason the virus suddenly become active again is not clear. Often only one attack occurs. If an adult or child is exposed to the herpes zoster virus and has not had chickenpox as a child or received the chickenpox vaccine, a severe case of chickenpox may develop, rather than shingles.

Herpes zoster can be contagious through direct contact in an individual who has not had chickenpox, and therefore has no immunity. Herpes zoster may affect any age group, but it is much more common in adults over 60 years old, in children who had chickenpox before the age of one year, and in individuals whose immune system is weakened.

A case report: treatment of herpes zoster infection with ozone therapy.

Patient A

44 years old male was admitted for treatment with diagnosis of herpes zoster resistant to virucides. The patient is affected for the past two and a half years.

Complaints – strong sharp pain in lower abdominal, spinal, hips and back of thighs. The pain is increased on any kind of movement. Or simply with soft touch or slight application of pressure. Anaesthetic drugs have little or no effect. The patient also complaints of sleep deprivation due to the pain.

Physical examination – the skin of the patient bears characteristic herpetic lesions at the affected sites. And there is notable colour change to brown at these sites. Squammation is present at the lesion sites and sites of reoccurrence.

Patient is apprehensive about touch and does not permit any contact with the affected sites. Appears to be nervous and on self confession admits to consume one bottle of whiskey everyday to relieve the pain and go to sleep.

   
First day   In 2 weeks   In 26 days

   
First day   In 2 weeks   In 26 days

Patient B

75 years old female was admitted for treatment with complaints of sharp pain on the right side of her face, can’t see from her right eye with sharp tearing pain in the eye like a continuously lit cigarette. Painful on the right side of mouth, oral cavity while talking. Also complains of pain on right side of neck and auricular region.

Physical examination- right side of face and neck has herpetic lesions. Mouth and tongue have ulcerative wounds. Patient experiences severe pain on slight touch or pressure application. Apnoea is present due to pain. It is not possible for the patient to open right eye due to pain.

   
First day   In 2 weeks   In 30 days

Treatment for both patients

High dosage ozone therapy administered to the patients, for a period of 15days in 250 ml normasaline solution. (Two times per day).

  • Day 1 to day 3- pain is relieved completely
  • Day 4 to day 15, same dosage of ozone therapy but once a day only.
  • Skin lesions – all completely cleared by the 15th day of treatment.
  • No pain is felt even on deep touch or pressure application at the affected sites.
  • Mouth and tongue ulcers completely healed by the end of treatment.
  • Right eye in patient B is functioning like the left eye.
  • On the 30th day of treatment completely clinical recovery was observed.
  • Only remnants of pigmentation of coffee with milk remained at the affected sites.                       There has been no residive in the patients for the last 5 years since they received treatment.
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