ABSTRACT
El Síndrome de Ramsay Hunt o Herpes Zóster Ótico, se define por la asociación de parálisis facial periférica con la presencia de erupción eritemato-vesicular en el oído externo, por el virus de la Varicela-Herpes Zóster. Objetivo: Establecer la evolución de la reactivación del virus de la varicela en personas mayores de 90 años. Presentación del Caso clínico: paciente femenina de 91 años, con antecedente de artritis reumatoide e hipertensión arterial no controlada; inicia con erupción maculo papular en hemicara izquierda que evoluciona a vesículas, acompañada de fiebre y mal estado general; concomitante presenta otalgia. Es ingresada por el servicio de Medicina Interna al Hospital Escuela Universitario donde se instaura tratamiento: Aciclovir 500mg intravenoso cada 8 horas, Pregabalina 1 cápsula vía oral cada 12 horas y Prednisona 50mg vía oral cada día, con buena respuesta terapéutica; se da de alta con mejoría de sus síntomas y resolución de lesiones faciales. Conclusión: Para la aparición del síndrome de Ramsay Hunt II en esta paciente, el principal factor de riesgo fue la edad; su evolución fue favorable y sin secuelas al instaurarse el tratamiento en forma oportuna...(AU)
Subject(s)
Humans , Female , Aged, 80 and over , Acyclovir/pharmacokinetics , Bell Palsy , Herpes Zoster Oticus , Herpesvirus 3, Human/classification , Kaposi Varicelliform Eruption/complicationsABSTRACT
BACKGROUND: Kaposis varicelliform eruption (KVE) represents widespread cutaneous herpes simplex virus (HSV) infection in patients with preexisting dermatoses. Occasionally, this infection can present as a nosocomial infection in skin wards, if adequate bed-spacing and barrier nursing methods are not followed. We are reporting five cases of KVE; four cases acquired the infection in a makeshift ward after admission of the first case in May 2005, due to the renovation work of the regular skin ward. AIM: The purpose of this study is to create clinical awareness about this uncommon dermatologic entity and to stress upon the importance of bed-spacing and barrier nursing in skin wards. METHODS: Five cases of KVE, three females and two males with different primary dermatoses (pemphigus foliaceus--one, pemphigus vulgaris--two, paraneoplastic pemphigus--one and toxic epidemal necrolysis--one) were included in this study. Diagnosis was made clinically and supported with Tzanck smear and HSV serology. All the cases were treated with oral acyclovir. RESULTS: Four out of five cases of KVE recovered with treatment, one case of extensive pemphigus vulgaris with KVE succumbed to death. CONCLUSION: Mini outbreaks of KVE can occur in skin wards with inadequate bed-spacing and overcrowding of patients. Therefore adequate bed-spacing, barrier nursing and isolation of suspected cases are mandatory to prevent such life-threatening infections.
Subject(s)
Acyclovir/administration & dosage , Administration, Oral , Adult , Antiviral Agents/administration & dosage , Child , Cross Infection/epidemiology , Crowding , Dermatology , Disease Outbreaks , Fatal Outcome , Female , Hospital Bed Capacity , Hospital Departments , Humans , India/epidemiology , Kaposi Varicelliform Eruption/complications , Male , Middle Aged , Patients' Rooms , Skin Diseases/complications , Treatment OutcomeABSTRACT
Kaposi's varicelliform eruption (eczema herpeticum) is the name given to a distinct cutaneous eruption caused by herpes simplex and certain other viruses that infect persons with preexisting dermatosis. Most commonly it is associated with atopic dermatitis. We report a case of a three-year-old atopic child who presented with extensive vesicular eruption suggestive of Kaposi's varicelliform eruption. There was history of fever, malaise and extensive vesicular eruptions. Diagnosis was made based on clinical features and Tzanck smear examination. Patient responded adequately to oral acyclovir therapy.
Subject(s)
Acyclovir/administration & dosage , Administration, Oral , Antiviral Agents/administration & dosage , Child, Preschool , Dermatitis/complications , Female , Humans , Kaposi Varicelliform Eruption/complications , Medical Records , Respiratory Tract Infections/complicationsABSTRACT
Presentamos un caso de erupción variceliforme de Kaposi en una niña con dermatitis atópica que previamente había tenido una erupción típica de enfermedad mano-pie-boca (eccema coxsackium). Las lesiones se desarrollaron en la zona del pañal, sobreimpuestas en una dermatitis preexistente que afectaba esa zona.