Monday, September 16, 2019

Ramsay Hunt syndrome

Case: 47 year old immunocompromised m patient is in ICU with septic shock. The patient developed vesicles in the auditory canal. The infectious disease (ID) service wrote in the note: 'probable Ramsay Hunt syndrome' and added the treatment plan. What is Ramsay Hunt syndrome?

Answer:  Herpes Zoster Oticus, popularly known as Ramsay Hunt syndrome is a major otologic complication of Varicella-Zoster Virus reactivation. It may cause hearing loss. It is a triad of
  • ipsilateral facial paralysis
  • ear pain, and 
  • vesicles in the auditory canal and auricle
Treatment is valacyclovir and prednisone.

#infectious-diseases


Reference:


Coulson S, Croxson GR, Adams R, Oey V. Prognostic factors in herpes zoster oticus (ramsay hunt syndrome). Otol Neurotol 2011; 32:1025.

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