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一名感染人类免疫缺陷病毒的患者出现拉姆齐·亨特综合征。

Ramsay Hunt syndrome in a patient with human immunodeficiency virus infection.

作者信息

Gupta Mrinal

机构信息

Treatwell Skin Centre, Canal Road, Jammu, Jammu and Kashmir, India.

出版信息

Indian J Sex Transm Dis AIDS. 2017 Jan-Jun;38(1):89-91. doi: 10.4103/0253-7184.203439.

DOI:10.4103/0253-7184.203439
PMID:28442812
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5389224/
Abstract

Ramsay Hunt syndrome (RHS) is a rare, severe complication of varicella-zoster virus reactivation in the geniculate ganglion, characterized by hearing loss, pain, and vesicles in the ear or mouth along with ipsilateral facial palsy. Although it is rare, it is more commonly found with immunodeficiency conditions. We report a case of a 35-year-old human immunodeficiency virus positive male, having CD4+ count of 336/μl, who presented with RHS and had vertigo, painful vesicular eruptions on the right ear and unilateral sensorineural hearing loss. He was treated immediately with valacyclovir and prednisolone, and the complete recovery was achieved at 6 months after the onset.

摘要

拉姆齐·亨特综合征(RHS)是膝状神经节中水痘-带状疱疹病毒再激活引起的一种罕见的严重并发症,其特征为听力丧失、疼痛、耳部或口腔出现水疱以及同侧面神经麻痹。尽管它很罕见,但在免疫缺陷情况下更常见。我们报告一例35岁的男性艾滋病病毒阳性患者,其CD4 + 细胞计数为336/μl,出现了拉姆齐·亨特综合征,伴有眩晕、右耳疼痛性水疱疹和单侧感音神经性听力损失。他立即接受了伐昔洛韦和泼尼松龙治疗,并在发病后6个月完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e55c/5389224/bdbe16dfd048/IJSTD-38-89-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e55c/5389224/30da2df7f506/IJSTD-38-89-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e55c/5389224/bdbe16dfd048/IJSTD-38-89-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e55c/5389224/30da2df7f506/IJSTD-38-89-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e55c/5389224/bdbe16dfd048/IJSTD-38-89-g002.jpg

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本文引用的文献

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An unexpected case of Ramsay Hunt syndrome: case report and literature review.一例罕见的拉姆齐·亨特综合征病例:病例报告及文献综述
BMC Res Notes. 2013 Aug 28;6:337. doi: 10.1186/1756-0500-6-337.
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Ramsay hunt syndrome in a person with HIV disease.一名感染HIV疾病患者的拉姆齐·亨特综合征
Indian J Otolaryngol Head Neck Surg. 2008 Jun;60(2):171-3. doi: 10.1007/s12070-008-0041-x. Epub 2008 Jun 12.
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Later onset of herpes zoster-associated immune reconstitution inflammatory syndrome.带状疱疹相关免疫重建炎症综合征的发病较晚。
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Ramsay Hunt syndrome.拉姆齐·亨特综合征
J Neurol Neurosurg Psychiatry. 2001 Aug;71(2):149-54. doi: 10.1136/jnnp.71.2.149.
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Treatment of Ramsay Hunt syndrome with acyclovir-prednisone: significance of early diagnosis and treatment.阿昔洛韦联合泼尼松治疗拉姆齐·亨特综合征:早期诊断与治疗的意义
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