This patient attended the hospital with vesicular rashes and ulcers with burning sensation on one side of the face and oral cavity for 4-5 days. The lesions were restricted to the distribution of mandibular nerve.
A classic case of PHN in which mandiblar branch is the most affected one. Maxillary and opthalmic Branches are rarely affected.
Treatment was done in a multimodal aproach. Primary drugs were antiviral acyclovir and carbamazapine for the pain. Local antifungal was given for deteriorating oral hygiene. Local and systemic steroidal anti-inflammatory drugs were advised to my knowledge. But later I found out nonsteroidal anti inflammatory drugs are more useful in such cases. On retrospect , an anti depressant should also have been prescribed.
Patient was referred to higher facility for better treatment.
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