Open AccessHerpes reactivation after the injection of hyaluronic acid dermal filler
Author(s) -
Hayson Chenyu Wang,
Tianyu Sun,
Nanze Yu
Publication year - 2020
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000020394
Subject(s) - hyaluronic acid , medicine , erythema , herpes simplex virus , dermatology , nose , viscosupplementation , surgery , virus , osteoarthritis , virology , pathology , intra articular , alternative medicine , anatomy
Hyaluronic acid injections is relatively safe with little risk of complications. Although herpes reactivation after the injection of hyaluronic acid is rare, it produces quite a huge pressure and panic on patients. Quite a lot cosmetic practitioners have no awareness of preventing, diagnosing, and giving correct treatment in time due to lack of experience. Patient concerns: A 24-year-old woman presented with erythema, crusted papules, pain and swelling on the nose after receiving the injection of hyaluronic acid. A swab of the discharge fluid was obtained for bacterial and viral culture, showing positive for herpes simplex virus. Diagnosis: The patient was diagnosed as herpes reactivation after the injection of hyaluronic acid. Interventions: The patient underwent antiviral therapy with acyclovir 400 mg, 3 times daily for seven days. Outcomes: After a week of antiviral treatment, the clinical signs improved. Conclusion: Herpes reactivation after the injection of hyaluronic acid is quite rare but needed sufficient attention of cosmetic practitioners to make the proper diagnosis, prevention and treatment.