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.



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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