Kim Daniel, Bhimani Munsif
Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
CJEM. 2008 May;10(3):247-50. doi: 10.1017/s1481803500010174.
Ramsay Hunt syndrome is a rare complication of herpes zoster in which reactivation of latent varicella zoster virus infection occurs in the geniculate ganglion, causing otalgia, auricular vesicles and peripheral facial paralysis. Because these symptoms do not always present at the onset, this syndrome can be misdiagnosed. We report the case of a patient who was diagnosed with simple otitis externa after presenting to the emergency department (ED) with a 3-day history of right-sided otalgia. Her condition subsequently evolved to include right-sided auricular vesicles and right-sided facial weakness. She presented to the ED again after 2 days and was correctly diagnosed with Ramsay Hunt syndrome. We describe the clinical presentation, diagnostic findings and management of this uncommon but important entity.
拉姆齐·亨特综合征是带状疱疹的一种罕见并发症，潜伏的水痘-带状疱疹病毒感染在膝状神经节重新激活，导致耳痛、耳部水疱和周围性面瘫。由于这些症状在发病时并不总是出现，该综合征可能会被误诊。我们报告一例患者，该患者因右侧耳痛3天就诊于急诊科，最初被诊断为单纯性外耳道炎。随后其病情发展为右侧耳部水疱和右侧面部无力。2天后她再次就诊于急诊科，被正确诊断为拉姆齐·亨特综合征。我们描述了这个不常见但重要疾病的临床表现、诊断结果及治疗方法。
