RESUMO
Auricular pruritus coexisted with multiple cranial nerve lesions in Ramsay Hunt syndrome has been rarely reported in the literature especially its treatment. However, auricular pruritus cannot be better improved along with the improvement of multiple cranial nerve lesions. We tried to solve the problem with acupuncture and got experience from it. The following 2 cases of Ramsay Hunt syndrome show a potential modality for the treatment of auricular pruritus with acupuncture.
Assuntos
Acupuntura Auricular/métodos , Orelha Externa/virologia , Herpes Zoster da Orelha Externa/terapia , Adulto , Dor de Orelha/virologia , Paralisia Facial/virologia , Feminino , Perda Auditiva/virologia , Humanos , Hipestesia/virologia , Masculino , Pessoa de Meia-Idade , Faringite/virologiaRESUMO
Ramsay Hunt syndrome is a rare complication of herpes zoster disease in which reactivation of latent varicella zoster virus infection occurs in the geniculate ganglion causing otalgia, unilateral vesicular eruption in a restricted dermatomal distribution, and peripheral facial paralysis. Dermal infections caused by human pathogenic herpes viruses are common in organ transplant recipients. For a transplant surgeon, it is imperative to remember that viral prophylaxis is essential in the follow-up of the transplant patients. Here, we presented a case of renal transplant and Ramsay Hunt syndrome with multiple cranial nerve involvement, with an atypical course. Management and differential diagnosis of this particular case are discussed with a review of the literature.
Assuntos
Herpes Zoster da Orelha Externa/virologia , Herpesvirus Humano 3/patogenicidade , Transplante de Rim/efeitos adversos , Adulto , Anticorpos Antivirais/sangue , Antivirais/uso terapêutico , Progressão da Doença , Dor de Orelha/virologia , Dor Facial/virologia , Paralisia Facial/virologia , Herpes Zoster da Orelha Externa/tratamento farmacológico , Herpes Zoster da Orelha Externa/patologia , Herpesvirus Humano 3/imunologia , Humanos , Imunossupressores/efeitos adversos , Masculino , Dermatopatias Infecciosas/virologia , Resultado do Tratamento , Vertigem/virologia , Ativação ViralAssuntos
Aciclovir/análogos & derivados , Aminas , Ácidos Cicloexanocarboxílicos , Dor de Orelha/virologia , Febre/virologia , Herpes Zoster , Valina/análogos & derivados , Ácido gama-Aminobutírico , Acetatos/uso terapêutico , Aciclovir/uso terapêutico , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Analgésicos/uso terapêutico , Antivirais/uso terapêutico , Diagnóstico Diferencial , Gabapentina , Herpes Zoster/líquido cefalorraquidiano , Herpes Zoster/complicações , Herpes Zoster/diagnóstico , Herpes Zoster/tratamento farmacológico , Humanos , Masculino , Oxicodona/uso terapêutico , Dor/virologia , Seleção de Pacientes , Reação em Cadeia da Polimerase , Fatores de Risco , Valaciclovir , Valina/uso terapêuticoAssuntos
Infecções por HIV/diagnóstico , Infecções por HIV/enfermagem , Avaliação em Enfermagem/métodos , Planejamento de Assistência ao Paciente , Pré-Escolar , Resfriado Comum/virologia , Diagnóstico Diferencial , Dor de Orelha/virologia , Infecções por HIV/complicações , Humanos , Serviços de Informação , Masculino , Profissionais de Enfermagem , Enfermagem Pediátrica , Atenção Primária à SaúdeRESUMO
Ramsay Hunt's syndrome is an infectious cranial polyneuropathy caused by varicella zoster, the herpetic virus that also causes chickenpox and shingles. Its symptoms include facial paralysis, ear pain, and an auricular rash. Oral lesions are also present in most cases. This syndrome can affect any cranial nerve and usually affects multiple nerves, causing central, cervical, and peripheral effects. This article reports the case of a 35-year-old white female who was treated by the oral surgery service of a large urban hospital, after first reporting to the emergency clinic. Her reported symptoms of unilateral left-side facial paralysis, auricular pain, and trigeminal hyperesthesia were confirmed by clinical examination. An initial short low-dose steroid regimen was unsuccessful. A second daily dosage of 50 mg of prednisone was successful in 21 days. No permanent sequelae were evident or reported after treatment.
