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KMID : 0882420160900020169
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Korean Journal of Medicine
2016 Volume.90 No. 2 p.169 ~ p.172
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Ramsay Hunt Syndrome in a Patient Infected with Human Immunodeficiency Virus
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강은경:Kang Eun-kyung
김지연:Kim Ji-Yeon/송경환:Song Kyoung-Hwan/문송미:Moon Song-Mi/고광필:Ko Kwang-Pil/서일혜:Seo Yiel-Hea/박윤수:Park Yoon-Soo
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Abstract
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Ramsay Hunt syndrome is caused by reactivation of the varicella zoster virus in the geniculate ganglion of the sensory branch in the face and ears. It is characterized by peripheral facial palsy, ear pain, and vesicles in the auditory canal and auricle. We report on a first case of Ramsay Hunt syndrome in a patient with human immunodeficiency virus in Korea. The patient, a 40-year-old male, first presented with otalgia and ear fullness. On admission, he had right facial palsy of the peripheral type, otorrhea, headache, limited tongue movement, and right auricle vesicular eruptions. He had positive human immunodeficiency virus antibody and Western blot tests. His CD4 T cell count was 281/μL. The patient was treated with valacyclovir and steroid with highly active antiretroviral therapy. His symptoms and facial palsy improved with treatment.
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KEYWORD
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Herpes zoster oticus, HIV, Herpesvirus 3, Human, Valacyclovir
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