J Korean Soc Transplant.  2016 Jun;30(2):86-88. 10.4285/jkstn.2016.30.2.86.

Ramsay Hunt Syndrome in a Living-donor Kidney Transplantation Recipient: Unusual Clinical Course Case

• Jung D
• Kim SH
• Choi SO
• Park SY

• KMID: 2327968
• DOI: http://doi.org/10.4285/jkstn.2016.30.2.86

Abstract

Varicella zoster virus (VZV) infection is due to VZV reactivation in most cases. The infection rate ranges from 4% to 12% in renal allograft recipients. Ramsay Hunt syndrome (RHS) is a rare manifestation of VZV infection. RHS typically presents as severe ear pain, small vesicles, and facial palsy. We reported a case of a 60-year-old man with an unusual clinical course who underwent living donor renal transplantation. He complained of severe ear pain but did not show vesicles or facial palsy. He also presented lesions indicating a fungal infection. Diagnosis of RHS was delayed since facial palsy did not develop until some days later. Although the denervation rate was high, he showed recovery of nearly all symptoms after antiviral treatment. Solid organ recipients may not typically show presentation of viral infection, and therefore clinical suspicion is important. Even though the final diagnosis is delayed, we must treat patients since they may recover well in contrast with the average population.

Keyword

Kidney transplantation; Human herpesvirus 3; Herpes zoster oticus

MeSH Terms

Allografts
Denervation
Diagnosis
Ear
Facial Paralysis
Herpes Zoster Oticus*
Herpesvirus 3, Human
Humans
Kidney Transplantation*
Kidney*
Living Donors
Middle Aged

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