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

Yıl 2017, Cilt: 8 Sayı: 4, 85 - 87, 01.10.2017

Stephen Dunay Alexis Taylor Tristan Knutson

Öz

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

Öz

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

Anahtar Kelimeler

Emergency medicine, neurology, herpes zoster, Ramsay Hunt, otolaryngology

Kaynakça

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