Arya Divya, Bajaj Tushar, Gonzalez Jose, Elkin Rene
Department of Internal Medicine, Bronx Lebanon Hospital Center, Bronx, NY, USA.
Department of Medicine, American University of the Caribbean, Cupecoy, Saint Kitts and Nevis.
Am J Case Rep. 2018 Jan 18;19:68-71. doi: 10.12659/ajcr.906834.
BACKGROUND Ramsay Hunt syndrome is a rare otologic complication resulting from varicella zoster virus reactivation that can present with a myriad of clinical presentations. Most common being triad of ear pain, vesicles at auricle, and ear canal with same side facial palsy. CASE REPORT We report a case of a 29-year-old male with a human immunodeficiency virus (HIV) infection who presented with left facial palsy, vesicles, pain in the left ear, dysphagia, dizziness, and headache resulting from multiple cranial nerves involvement such as cranial nerve V, VII, VIII, IX, and X. CONCLUSIONS This case report raises awareness among general practitioners to investigate for Ramsay Hunt syndrome in HIV patients presenting with ear pain with a thorough neurological exam and emphasize on the interplay of different specialties in managing these patients.
拉姆齐·亨特综合征是由水痘带状疱疹病毒再激活引起的一种罕见的耳科并发症，可表现出多种临床表现。最常见的是三联征，即耳痛、耳廓和耳道出现水疱以及同侧面神经麻痹。病例报告：我们报告一例29岁感染人类免疫缺陷病毒（HIV）的男性病例，该患者因多组颅神经受累，如第V、VII、VIII、IX和X颅神经，出现左侧面神经麻痹、水疱、左耳疼痛、吞咽困难、头晕和头痛。结论：本病例报告提高了全科医生的认识，即对于出现耳痛的HIV患者，应通过全面的神经系统检查来排查拉姆齐·亨特综合征，并强调在管理这些患者时不同专科之间的相互作用。
