拉姆齐·亨特综合征的早期诊断与治疗：一例报告
Early diagnosis and treatment of Ramsay Hunt syndrome: a case report.
作者信息
Yu Chen, Lee Haw-Yu, Chen Yen-Chia
机构信息
Emergency Department, Taipei Veterans General Hospital, Taipei, 112, Taiwan.
Department of Emergency Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, 112, Taiwan.
出版信息
Int J Emerg Med. 2025 Jan 2;18(1):1. doi: 10.1186/s12245-024-00807-x.
BACKGROUND
Ramsay Hunt syndrome (RHS), a rare complication of varicella-zoster virus (VZV) reactivation, presents with ipsilateral facial paralysis, ear pain, and vesicular rash. Early recognition is crucial for prompt treatment and optimal outcomes.
CASE PRESENTATION
We report a case of a 67-year-old woman with RHS who presented with right-sided facial palsy, severe ear pain, and fluid-filled blisters. Prompt diagnosis and initiation of antiviral and glucocorticoid therapy led to significant symptom improvement.
CONCLUSIONS
Healthcare providers should consider RHS in patients with facial palsy, especially when accompanied by ear pain and vesicular rash, to facilitate early intervention and prevent long-term complications.
背景
拉姆齐·亨特综合征（RHS）是水痘-带状疱疹病毒（VZV）再激活的一种罕见并发症，表现为同侧面部麻痹、耳痛和水疱疹。早期识别对于及时治疗和获得最佳预后至关重要。
病例报告
我们报告一例67岁患有RHS的女性病例，该患者表现为右侧面部麻痹、严重耳痛和充满液体的水疱。及时诊断并开始抗病毒和糖皮质激素治疗后，症状得到显著改善。
结论
医疗保健提供者应考虑到面瘫患者可能患有RHS，尤其是伴有耳痛和水疱疹时，以便于早期干预并预防长期并发症。
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