耳带状疱疹、眼带状疱疹及皮肤播散性带状疱疹：病例报告与文献综述
Herpes Zoster Oticus, Ophthalmicus, and Cutaneous Disseminated: Case Report and Literature Review.
作者信息
Pitton Rissardo Jamir, Fornari Caprara Ana Letícia
机构信息
Medicine Department, Federal University of Santa Maria, Santa Maria, Brazil.
出版信息
Neuroophthalmology. 2018 Sep 27;43(6):407-410. doi: 10.1080/01658107.2018.1523932. eCollection 2019 Dec.
Abstract
Herpes zoster (HZ) is related with the reactivation of latent varicella-zoster virus (VZV) infection. This infection is associated with HZ-oticus, HZ-ophthalmicus, and disseminated-cutaneous HZ. Here, we report a case of an adolescent male who presented with vesicular-eruptions in the left-forehead. The physical examination showed vesicles on the left V1-dermatome and external auditory canal, associated with ipsilateral periorbital oedema, peripheral VII nerve paralysis, hyperacusis, and tinnitus. Acyclovir, eye lubrication, and ophthalmic prednisolone were started. On second admission day, he developed vesicular lesions throughout the body. Polymerase chain reaction (PCR) of the draining vesicles was VZV-positive.
摘要
带状疱疹（HZ）与潜伏性水痘-带状疱疹病毒（VZV）感染的再激活有关。这种感染与耳带状疱疹、眼带状疱疹及播散性皮肤带状疱疹有关。在此，我们报告一例青少年男性病例，其左前额出现水疱性皮疹。体格检查显示左侧V1皮节和外耳道有水疱，伴有同侧眶周水肿、外周VII神经麻痹、听觉过敏和耳鸣。开始使用阿昔洛韦、眼部润滑和眼部泼尼松龙治疗。在第二次入院日，他全身出现水疱性病变。引流水疱的聚合酶链反应（PCR）结果显示VZV阳性。
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