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KMID : 0361020210640030188
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Korean Journal of Otolaryngology - Head and Neck Surgery
2021 Volume.64 No. 3 p.188 ~ p.191
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A Case Report of Acute Laryngitis with Auricular Lesion: Herpes Zoster Infection with Isolated Vagus Nerve Involvement and Vocal Fold Paresis
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Shin Jung-Woo
Kim Sang-Woo
Park Seok-Won
Kim Bo-Hae
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Abstract
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Acute laryngitis and acute inflammatory diseases of either infectious or non-infectious causeshave similarities with herpes zoster of the vagus nerve (VHZ). We present a case which wasinitially diagnosis wtih acute laryngitis but finally diagnosed as VHZ. A 41-year-old male presentedwith an ongoing fever, throat pain and right otalgia lasting for two days with worseningsymptoms despite nonsteroidal anti-inflammatory drug medication. Initially, he was treatedconservatively as acute laryngitis was suspected. However, VHZ was subsequently diagnosedin this patient after considering unilateral auricular and laryngeal vesicles which were followedby ipsilateral vocal fold paresis. An antiherpetic agent and prednisolone were administeredupon the presentation of vocal fold paresis. Axonotmesis was discovered by laryngealelectromyography one week after the appearance of vocal fold paresis. All symptoms subsidedafter one month. These results highlight the importance of understanding vagus nerve functionin developing a differential diagnosis for laryngitis and VHZ.
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KEYWORD
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Electromyography, Herpes zoster, Vagus nerve, Varicella zoster virus infection
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