Korean J Med.  2016 Feb;90(2):169-172. 10.3904/kjm.2016.90.2.169.

Ramsay Hunt Syndrome in a Patient Infected with Human Immunodeficiency Virus

Affiliations
  • 1Department of Internal Medicine, Gachon University School of Medicine, Gil Medical Center, Incheon, Korea. ysparkok2@gmail.com
  • 2Department of Preventive Medicine, Gachon University School of Medicine, Gil Medical Center, Incheon, Korea.
  • 3Department of Laboratory Medicine, Gachon University School of Medicine, Gil Medical Center, Incheon, Korea.
  • 4Department of Internal Medicine, NHIS Ilsan Hospital, Goyang, Korea.

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.

Keyword

Herpes zoster oticus; HIV; Herpesvirus 3, Human; Valacyclovir

MeSH Terms

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
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