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A Suspected Atypical Case of Ramsay Hunt Syndrome Diagnosed in The Emergency Department

Year 2017, Volume: 8 Issue: 4, 85 - 87, 01.10.2017

Abstract

References

  • Worme M, Reena Chada R, Lavallee L. An unexpected case of Ramsay hunt syndrome: case report and literature review. BMC Res Notes 2013; 6: 337. [CrossRef]
  • Ferri FF. Herpes Zoster. Ferri’s Clinical Advisor 2017; 587-96.
  • Bharadwaj S, Moffat AC, Wood B, Bharadwaj A. Herpetic cranial poly- neuritis mimicking brain stem infarction-an atypical presentation of Ramsay Hunt syndrome. BMJ Case Rep 2016. [CrossRef]
  • Sweeney CJ, Gilden DH. Ramsay Hunt syndrome. J Neurol Neurosurg Psychiatry 2001; 71: 149-54. [CrossRef]
  • Gupta NM, Parikh MP, Panginikkod S, Gopalakrishnan V. Ramsay Hunt Syndrome. QJM 2016; 109: 693. [CrossRef]
  • Volpi A. Severe Complications of Herpes Zoster. Herpes 2007; 14: 35-9.
  • Murakami S, Hato N, Horiuchi J Honda N, Gyo K, Yanagihara N. Treat- ment of Ramsay Hunt Syndrome with Acyclovir-Prednisone: Aignifi- cance of Early Diagnosis and Treatment. Ann Neurol 1997; 41: 353-7. [CrossRef]
  • Chan TL, Cartagena AM, Bombassaro AM, Hosseini-Moghaddam SM. Ramsay Hunt Syndrome Associated with Central Nervous System In- volvement in an Adult. Can J Infect Dis Med Microbiol 2016. [CrossRef]
  • Kayayurt K, Yavasi O, Bilir O. Ersunan G, Giakoup B. A Case of Ramsay Hunt Syndrome with Atypical Presentation. Turk J Emerg Med 2016; 14: 142-5. [CrossRef]

A Suspected Atypical Case of Ramsay Hunt Syndrome Diagnosed in The Emergency Department

Year 2017, Volume: 8 Issue: 4, 85 - 87, 01.10.2017

Abstract

Introduction: Ramsay Hunt syndrome is a rare complication of varicella zoster virus (VZV) reactivation, occurring in only approximately 0.2% of VZV reactivation cases. Despite its rarity, the morbidity associated with the syndrome is high, and the symptoms can be varied and nonspecific. Case Report: This report presents the case a 42-year-old female with an atypical presentation of Ramsay Hunt syndrome. Initially, her symptoms were concerning with regard to stroke; however, stroke workup was normal, and the consultants considered her symptoms to be the most consistent with Ramsay Hunt syndrome. Conclusion: The classical symptoms of Ramsay Hunt syndrome include otalgia; a vesicular rash in either the auditory canal, hard palate, or anterior two-third of the tongue; and ipsilateral facial paralysis or weakness. Our literature review revealed that there were no similar case reports; however, all emergency physicians should include this syndrome as part of the differential diagnosis of patients who present with unilateral paralysis

References

  • Worme M, Reena Chada R, Lavallee L. An unexpected case of Ramsay hunt syndrome: case report and literature review. BMC Res Notes 2013; 6: 337. [CrossRef]
  • Ferri FF. Herpes Zoster. Ferri’s Clinical Advisor 2017; 587-96.
  • Bharadwaj S, Moffat AC, Wood B, Bharadwaj A. Herpetic cranial poly- neuritis mimicking brain stem infarction-an atypical presentation of Ramsay Hunt syndrome. BMJ Case Rep 2016. [CrossRef]
  • Sweeney CJ, Gilden DH. Ramsay Hunt syndrome. J Neurol Neurosurg Psychiatry 2001; 71: 149-54. [CrossRef]
  • Gupta NM, Parikh MP, Panginikkod S, Gopalakrishnan V. Ramsay Hunt Syndrome. QJM 2016; 109: 693. [CrossRef]
  • Volpi A. Severe Complications of Herpes Zoster. Herpes 2007; 14: 35-9.
  • Murakami S, Hato N, Horiuchi J Honda N, Gyo K, Yanagihara N. Treat- ment of Ramsay Hunt Syndrome with Acyclovir-Prednisone: Aignifi- cance of Early Diagnosis and Treatment. Ann Neurol 1997; 41: 353-7. [CrossRef]
  • Chan TL, Cartagena AM, Bombassaro AM, Hosseini-Moghaddam SM. Ramsay Hunt Syndrome Associated with Central Nervous System In- volvement in an Adult. Can J Infect Dis Med Microbiol 2016. [CrossRef]
  • Kayayurt K, Yavasi O, Bilir O. Ersunan G, Giakoup B. A Case of Ramsay Hunt Syndrome with Atypical Presentation. Turk J Emerg Med 2016; 14: 142-5. [CrossRef]
There are 9 citations in total.

Details

Other ID JA27SC39PJ
Journal Section Case Report
Authors

Stephen Dunay This is me

Alexis Taylor This is me

Tristan Knutson This is me

Publication Date October 1, 2017
Submission Date October 1, 2017
Published in Issue Year 2017 Volume: 8 Issue: 4

Cite

APA Dunay, S., Taylor, A., & Knutson, T. (2017). A Suspected Atypical Case of Ramsay Hunt Syndrome Diagnosed in The Emergency Department. Journal of Emergency Medicine Case Reports, 8(4), 85-87.
AMA Dunay S, Taylor A, Knutson T. A Suspected Atypical Case of Ramsay Hunt Syndrome Diagnosed in The Emergency Department. Journal of Emergency Medicine Case Reports. October 2017;8(4):85-87.
Chicago Dunay, Stephen, Alexis Taylor, and Tristan Knutson. “A Suspected Atypical Case of Ramsay Hunt Syndrome Diagnosed in The Emergency Department”. Journal of Emergency Medicine Case Reports 8, no. 4 (October 2017): 85-87.
EndNote Dunay S, Taylor A, Knutson T (October 1, 2017) A Suspected Atypical Case of Ramsay Hunt Syndrome Diagnosed in The Emergency Department. Journal of Emergency Medicine Case Reports 8 4 85–87.
IEEE S. Dunay, A. Taylor, and T. Knutson, “A Suspected Atypical Case of Ramsay Hunt Syndrome Diagnosed in The Emergency Department”, Journal of Emergency Medicine Case Reports, vol. 8, no. 4, pp. 85–87, 2017.
ISNAD Dunay, Stephen et al. “A Suspected Atypical Case of Ramsay Hunt Syndrome Diagnosed in The Emergency Department”. Journal of Emergency Medicine Case Reports 8/4 (October 2017), 85-87.
JAMA Dunay S, Taylor A, Knutson T. A Suspected Atypical Case of Ramsay Hunt Syndrome Diagnosed in The Emergency Department. Journal of Emergency Medicine Case Reports. 2017;8:85–87.
MLA Dunay, Stephen et al. “A Suspected Atypical Case of Ramsay Hunt Syndrome Diagnosed in The Emergency Department”. Journal of Emergency Medicine Case Reports, vol. 8, no. 4, 2017, pp. 85-87.
Vancouver Dunay S, Taylor A, Knutson T. A Suspected Atypical Case of Ramsay Hunt Syndrome Diagnosed in The Emergency Department. Journal of Emergency Medicine Case Reports. 2017;8(4):85-7.