Atypical Ramsay Hunt syndrome (zoster sine herpete) with otitis media

Autor: Toshinori Nishizawa, Kazuhiro Ishikawa, Takahiro Matsuo, Naofumi Higuchi, Kenji Ishiguro, Nobuyoshi Mori
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of General and Family Medicine, Vol 22, Iss 6, Pp 344-346 (2021)
Druh dokumentu: article
ISSN: 2189-7948
DOI: 10.1002/jgf2.433
Popis: Abstract A 21‐year‐old man presented with an acute onset of bilateral throbbing headache, left ear pain, tinnitus, and fever. There was no skin rash on his face. Otoscopy revealed hyperemia and exudate over the left tympanic membrane. The swab culture of the exudate grew methicillin‐sensitive Staphylococcus aureus, and the patient was diagnosed as acute otitis media. Hearing loss and ipsilateral facial paralysis developed on hospital day 4. Despite the absence of typical bullous lesions, serology testing and polymerase chain reaction of the otic exudate for varicella‐zoster virus were positive. The patient was finally diagnosed as zoster sine herpete.
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