Tally Serena, Brown Michelle, Hsu Edmund
University of California, Irvine, Department of Emergency Medicine, Orange, CA.
J Educ Teach Emerg Med. 2023 Apr 30;8(2):V6-V10. doi: 10.21980/J8R93N. eCollection 2023 Apr.
A 36-year-old immunocompetent female presented to the emergency department (ED) with five days of headache and left-sided facial pain. Physical exam showed conjunctival injection of the left eye with multiple vesicular lesions distributed along the V1 dermatome. Labs were remarkable for mild elevation in erythrocyte sedimentation rate (ESR) and c-reactive protein (CRP) with no elevation in white blood cell (WBC) count. Computed tomography (CT) with contrast of the neck revealed soft tissue stranding around the parotid gland. The patient was diagnosed with herpes zoster ophthalmicus (HZO) with concurrent ipsilateral parotitis and subsequently treated with valacyclovir, ofloxacin eye drops, topical erythromycin ointment and amoxicillin/clavulanic acid. Upon follow-up ten days after discharge, the patient noted marked improvement in her symptoms and reduction in pain. To our knowledge, this is the first case described in medical literature of a female patient with HZO and ipsilateral parotitis.
Herpes zoster opthalmicus, varicella-zoster virus, parotitis.
一名36岁免疫功能正常的女性因头痛和左侧面部疼痛五天就诊于急诊科。体格检查显示左眼结膜充血，沿V1皮节分布有多个水疱性病变。实验室检查显示红细胞沉降率（ESR）和C反应蛋白（CRP）轻度升高，白细胞（WBC）计数无升高。颈部增强计算机断层扫描（CT）显示腮腺周围软组织条索状影。该患者被诊断为眼部带状疱疹（HZO）并发同侧腮腺炎，随后接受伐昔洛韦、氧氟沙星滴眼液、局部红霉素眼膏和阿莫西林/克拉维酸治疗。出院十天后随访，患者症状明显改善，疼痛减轻。据我们所知，这是医学文献中描述的首例患有HZO和同侧腮腺炎的女性患者。
眼部带状疱疹、水痘-带状疱疹病毒、腮腺炎。
