Valasiklovir Tedavisi Altında Gelișen Ramsay Hunt Sendromu

Abstract

Ramsay Hunt Syndrome (RHS) is a syndrome with facial nerve involvement which is accompanied by auricular rash and ear pain. Facial paralysis recovers late and witha sequelae. In this article, we reported a case who was first treated with oral valacyclovir and developed RHS at the third day of treatment, and whose facial paralysis fully recovered with early initiation of intravenous acyclovir and steroid. As it is in this case; it is important to keep in mind that RHS may develop despite oral antiviral treatment in elderly patients with chronic diseases (patients with chronic, elderly). Steroid and antiinflammatory treatments as well as intravenous antiviral therapy should be begun in the first 72 hours of this disease.

Keywords

• Ramsay Hunt Syndrome
• facial paralysis
• prognosis
• Herpes Zoster Oticus

Valasiklovir Tedavisi Altında Gelișen Ramsay Hunt Sendromu

Abstract

Ramsay Hunt Sendromu (RHS), fasiyal sinir tutulumuna auriküler döküntü ve kulak ağrısının eșlik ettiği bir sendromdur. Fasyal paralizi geç ve sekelli düzelir. Bu makalede ilk olarak oral valasiklovir tedavisi bașlanan ve tedavisinin üçüncü gününde RHS gelișen, erken bașlanan intravenöz asiklovir ve steroid tedavisi ile fasiyal paralizisi tam olarak düzelen bir olgu sunulmuștur. Bu olgu çerçevesinde; yașlı, kronik hastalığı olan hastalarda oral antiviral tedaviye rağmen RHS gelișebileceği akılda tutulmalıdır. (Bu hastalara) Hastalığın ilk 72 saat içinde intravenöz antiviral tedavi yanında steroid ve antienflamatuar tedavileri de bașlanmalıdır.

Keywords

• Ramsay Hunt Sendrom
• fasiyal paralizi
• prognoz
• Herpes Zoster Otikus

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