Ramsay Hunt Syndrome in a Patient Infected with Human Immunodeficiency Virus.
10.3904/kjm.2016.90.2.169
- Author:
Eun Kyung KANG
1
;
Ji Yeon KIM
;
Kyung Hwan SONG
;
Song Mi MOON
;
Kwang Pil KO
;
Yiel Hea SEO
;
Yoon Soo PARK
Author Information
1. Department of Internal Medicine, Gachon University School of Medicine, Gil Medical Center, Incheon, Korea. ysparkok2@gmail.com
- Publication Type:Case Report
- Keywords:
Herpes zoster oticus;
HIV;
Herpesvirus 3, Human;
Valacyclovir
- MeSH:
Adult;
Antiretroviral Therapy, Highly Active;
Blotting, Western;
Cell Count;
Ear;
Earache;
Facial Paralysis;
Geniculate Ganglion;
Headache;
Herpes Zoster Oticus*;
Herpesvirus 3, Human;
HIV*;
Humans;
Humans*;
Korea;
Male;
Tongue
- From:Korean Journal of Medicine
2016;90(2):169-172
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ramsay Hunt syndrome is caused by reactivation of the varicella zoster virus in the geniculate ganglion of the sensory branch in the face and ears. It is characterized by peripheral facial palsy, ear pain, and vesicles in the auditory canal and auricle. We report on a first case of Ramsay Hunt syndrome in a patient with human immunodeficiency virus in Korea. The patient, a 40-year-old male, first presented with otalgia and ear fullness. On admission, he had right facial palsy of the peripheral type, otorrhea, headache, limited tongue movement, and right auricle vesicular eruptions. He had positive human immunodeficiency virus antibody and Western blot tests. His CD4 T cell count was 281/microL. The patient was treated with valacyclovir and steroid with highly active antiretroviral therapy. His symptoms and facial palsy improved with treatment.