<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-1249</journal-id>
<journal-title><![CDATA[Archivos de Pediatría del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Pediatr. Urug.]]></abbrev-journal-title>
<issn>1688-1249</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Uruguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-12492025000301315</article-id>
<article-id pub-id-type="doi">10.31134/ap.96.32</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Compromiso de la rama mandibular del nervio trigémino por virus del herpes zóster: reporte de un caso en pediatría (Colombia)]]></article-title>
<article-title xml:lang="en"><![CDATA[Involvement of the mandibular branch of the trigeminal nerve by herpes zoster virus: a case report in pediatrics (Colombia)]]></article-title>
<article-title xml:lang="pt"><![CDATA[Acometimento do ramo mandibular do nervo trigémeo pelo vírus herpes zoster: relato de um caso em pediatria (Colômbia)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinzón]]></surname>
<given-names><![CDATA[Hernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villamor]]></surname>
<given-names><![CDATA[Perla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paba]]></surname>
<given-names><![CDATA[Jessie]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuello]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Niebles]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Infantil Napoleón Franco Pareja  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Infantil Napoleón Franco Pareja  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Infantil Napoleón Franco Pareja  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Infantil Napoleón Franco Pareja  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>96</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12492025000301315&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12492025000301315&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12492025000301315&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el herpes zóster (HZ) es una enfermedad provocada por la reactivación del virus de la varicela-zóster (VVZ) después de mantenerse en estado latente posterior a una infección primaria. Al reactivarse, se replica y se disemina a través del nervio hacia el dermatoma correspondiente. Se caracteriza por dolor intenso y aparición de lesiones vesiculares distribuidas de manera unilateral a lo largo del mismo.  Objetivos:  presentar el caso clínico identificado con compromiso de la rama mandibular del nervio trigémino por HZ con pruebas moleculares diagnósticas negativas como insumo para favorecer la sospecha clínica y el tratamiento temprano que mejore el pronóstico de los pacientes.  Descripción del caso:  adolescente de 11 años con antecedente de infección por varicela en la edad escolar que consulta por lesiones vesiculares a nivel del dermatoma de la rama mandibular del trigémino derecho. Con la sospecha clínica de un herpes facial se toma serología para herpes I y herpes II que se informaron negativas. La reacción en cadena de la polimerasa (PCR) para virus varicela zóster fue negativa. De manera hospitalaria se trata con aciclovir y corticoesteroide por vía endovenosa. Su evolución fue adecuada, con resolución total de las lesiones en piel, sin neuralgia del trigémino.  Conclusiones:  el diagnóstico del HZ facial es exclusivamente clínico y la obtención de pruebas serológicas negativas, mientras se haya descartado otra etiología, nos obliga a instaurar tratamiento de manera temprana para mejorar el pronóstico y disminuir las secuelas en los niños.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary:  Introduction:  herpes Zoster (HZ) is a disease caused by the reactivation of the varicella-zoster virus (VZV) after remaining latent subsequent to a primary infection. Upon reactivation, it replicates and spreads through the nerve to the corresponding dermatome. It is characterized by intense pain and the appearance of unilateral vesicular lesions distributed along the affected dermatome.  Objectives:  present a clinical case identified with involvement of the mandibular branch of the trigeminal nerve due to HZ with negative diagnostic molecular tests, serving as input to favor clinical suspicion and early treatment that improves patient prognosis.  Case Description:  11-year-old adolescent with a history of varicella infection during school age presented with vesicular lesions in the dermatome of the right trigeminal mandibular branch. There was a clinical suspicion of facial herpes, serology for herpes I and herpes II was performed, which came back negative. Polymerase chain reaction (PCR) for varicella-zoster virus was also negative. The patient was treated inpatient with intravenous acyclovir and corticosteroids. Their evolution was favorable, with complete resolution of skin lesions and no trigeminal neuralgia.  Conclusions:  the diagnosis of facial HZ is exclusively clinical, and obtaining negative serological tests, while other etiologies have been ruled out, requires early treatment to improve prognosis and reduce sequelae in children.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução: o Herpes Zóster (HZ) é uma doença provocada pela reativação do vírus da varicela-zóster (VVZ) após permanecer em estado latente subsequentemente a uma infecção primária. Ao reativar-se, replica-se e dissemina-se através do nervo para o dermátomo correspondente. Caracteriza-se por dor intensa e aparecimento de lesões vesiculares distribuídas de maneira unilateral ao longo do mesmo.  Objetivos:  apresentar um caso clínico identificado com comprometimento do ramo mandibular do nervo trigêmeo por HZ com testes moleculares diagnósticos negativos como subsídio para favorecer a suspeita clínica e o tratamento precoce que melhore o prognóstico dos pacientes.  Descrição do Caso:  adolescente de 11 anos com histórico de infecção por varicela na idade escolar que consulta por lesões vesiculares no nível do dermátomo do ramo mandibular do trigêmeo direito. Com a suspeita clínica de um herpes facial, foram realizadas sorologias para herpes I e herpes II, que foram negativas. A reação em cadeia da polimerase (PCR) para vírus varicela-zóster foi negativa. De maneira hospitalar, foi tratado com aciclovir e corticosteróide por via endovenosa. Sua evolução foi adequada, com resolução total das lesões na pele, sem neuralgia do trigêmeo.  Conclusões: o diagnóstico do HZ facial é exclusivamente clínico e a obtenção de testes sorológicos negativos, enquanto outra etiologia tenha sido descartada, requer tratamento precoce para melhorar o prognóstico e diminuir as sequelas nas crianças.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Herpes Zóster]]></kwd>
<kwd lng="es"><![CDATA[Nervio Facial]]></kwd>
<kwd lng="es"><![CDATA[Nervio Trigémino]]></kwd>
<kwd lng="es"><![CDATA[Niño]]></kwd>
<kwd lng="en"><![CDATA[Herpes Zoster]]></kwd>
<kwd lng="en"><![CDATA[Facial Nerve]]></kwd>
<kwd lng="en"><![CDATA[Trigeminal Nerve]]></kwd>
<kwd lng="en"><![CDATA[Child]]></kwd>
<kwd lng="pt"><![CDATA[Herpes Zoster]]></kwd>
<kwd lng="pt"><![CDATA[Nervo Facial]]></kwd>
<kwd lng="pt"><![CDATA[Nervo Trigêmeo]]></kwd>
<kwd lng="pt"><![CDATA[Criança]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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