scholarly journals Ramsay Hunt syndrome with facial vesicular rash: a unique clinical presentation in a kidney transplant patient

2014 ◽  
Vol 8 (07) ◽  
pp. 923-924 ◽  
Author(s):  
Carlos Abaeté De los Santos ◽  
Ivan Carlos Ferreira Antonello ◽  
Vicente Sperb Antonello ◽  
Florência Barreiro
Keyword(s):  
Hearing Loss ◽  
Herpes Zoster ◽  
Kidney Transplant ◽  
Kidney Transplant Patient ◽  
Virus Reactivation ◽  
Ramsay Hunt Syndrome ◽  
Transplant Patients ◽  
Hunt Syndrome ◽  
Vesicular Rash ◽  
The Face

Ramsay Hunt Syndrome (RHS) is the result of herpes zoster virus reactivation producing hearing loss, pain and vesicles in the ear or mouth, along with ipsilateral facial palsy due to the 7th cranial nerve geniculate ganglion infectious involvement. This condition has not been previously described, particularly in transplant patients. A 38-year old man underwent kidney transplantation and two years later experienced an ache on the left side of the face and hearing loss in the ear, also exhibiting vesicular lesions and concomitant facial peripheral palsy. Acyclovir IV was initiated, and the prednisone dose was increased. The patient was discharged 15 days later, feeling better but still exhibiting dark spots on his face. At three months follow-up he was asymptomatic, showing notable palsy improvement. Until this case, herpes zoster facial lesions causing typical RHS have never been reported in literature, particularly in kidney transplant patients.

Herpes zoster-encefalitis: een diagnostische uitdaging bij de geriatrische patiënt

2022 ◽  
Author(s):  
L. Carmans ◽  
C. Van Dessel
Keyword(s):  
Herpes Zoster ◽  
Rare Complication ◽  
Diagnostic Process ◽  
Herpes Encephalitis ◽  
Diagnostic Challenge ◽  
Varicella Zoster ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome ◽  
Prevalent Disease ◽  
Vesicular Rash

Herpes zoster encephalitis: a diagnostic challenge in a geriatric patient Reactivation of the varicella zoster virus (VZV) is a prevalent disease and is - in addition to the typical vesicular rash - responsible for rare neurological conditions. Older people form a major group of concern, given the increasing risk of VZV reactivation at a higher age together with a higher risk of complications. Herpes zoster encephalitis is a rare but serious complication which often presents atypically, delaying the diagnostic process. In this article, the medical history of a patient with herpes encephalitis without the typical clinical and biochemical signs of infection is presented. This patient also suffered from Ramsay Hunt syndrome, another rare complication of VZV, characterized by vesicular rash in the ear and ipsilateral peripheral facial paralysis. Both diseases are briefly reviewed and the potential benefits of vaccination are discussed.

scholarly journals Ramsay hunt syndrome- expect the unexpected: A case report

2021 ◽  
Vol 7 (3) ◽  
pp. 172-175
Author(s):  
Poorva Saxena ◽  
G. V. Ramachandra Reddy ◽  
Hina Handa ◽  
Ajita Singh
Keyword(s):  
Case Report ◽  
Herpes Zoster ◽  
Neurological Diseases ◽  
Rare Complication ◽  
Varicella Zoster Virus Infection ◽  
Post Herpetic Neuralgia ◽  
Varicella Zoster ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome ◽  
Vesicular Rash

Herpes zoster represents a latent reactivation of the varicella zoster virus infection with a dermatomal pattern of eruption and complicated by post-herpetic neuralgia. Ramsay hunt syndrome is a rare complication of herpes zoster and it is not just a syndrome but it's rather an infectious disease. This syndrome is characterized by peripheral facial nerve palsy associated with an erythematous vesicular rash on the ear. It is characterized by unilateral pattern of facial involvement and presence of vesicles helps in early diagnosis and distinguish the syndrome with diseases mimicking other severe neurological diseases. This article reports a case of 56-year-old male patient who reported with a complaint of severe toothache, which serves as severe prodrome for reactivation of herpes zoster virus which later leads to Ramsay Hunt syndrome. This case report highlights about the management of herpes zoster and its complication and emphasizes on prevention of post herpetic neuralgia complication.

Unusual Presentation of Ramsay‐Hunt Syndrome in Kidney Transplant Patient

2021 ◽  
Author(s):  
Daniela Del Pilar Via Reque Cortes ◽  
Marcelo Paes Menezes Filho ◽  
Géssica Sabrine Braga Barbosa ◽  
Tomás Didier M. Ferreira ◽  
José Otto Reusing Junior ◽  
...  
Keyword(s):  
Kidney Transplant ◽  
Transplant Patient ◽  
Unusual Presentation ◽  
Kidney Transplant Patient ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome

scholarly journals Ramsay hunt syndrome- expect the unexpected: A case report

2021 ◽  
Vol 7 (3) ◽  
pp. 172-175
Author(s):  
Poorva Saxena ◽  
G. V. Ramachandra Reddy ◽  
Hina Handa ◽  
Ajita Singh
Keyword(s):  
Case Report ◽  
Herpes Zoster ◽  
Neurological Diseases ◽  
Rare Complication ◽  
Varicella Zoster Virus Infection ◽  
Post Herpetic Neuralgia ◽  
Varicella Zoster ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome ◽  
Vesicular Rash

Herpes zoster represents a latent reactivation of the varicella zoster virus infection with a dermatomal pattern of eruption and complicated by post-herpetic neuralgia. Ramsay hunt syndrome is a rare complication of herpes zoster and it is not just a syndrome but it's rather an infectious disease. This syndrome is characterized by peripheral facial nerve palsy associated with an erythematous vesicular rash on the ear. It is characterized by unilateral pattern of facial involvement and presence of vesicles helps in early diagnosis and distinguish the syndrome with diseases mimicking other severe neurological diseases. This article reports a case of 56-year-old male patient who reported with a complaint of severe toothache, which serves as severe prodrome for reactivation of herpes zoster virus which later leads to Ramsay Hunt syndrome. This case report highlights about the management of herpes zoster and its complication and emphasizes on prevention of post herpetic neuralgia complication.

Ramsay Hunt syndrome

2012 ◽  
Vol 153 (32) ◽  
pp. 1281-1283
Author(s):  
Róbert Kui ◽  
Zsuzsanna Bata-Csörgő ◽  
Margit Zeher ◽  
Lajos Kemény
Keyword(s):  
Herpes Zoster ◽  
Multidisciplinary Approach ◽  
Systemic Corticosteroid ◽  
Complete Recovery ◽  
Typical Case ◽  
Early Administration ◽  
Ramsay Hunt Syndrome ◽  
Peripheral Facial Palsy ◽  
Hunt Syndrome ◽  
Systemic Corticosteroid Therapy

Ramsay Hunt syndrome is a special form of herpes zoster which is typically characterized by peripheral facial palsy and unilateral herpetic vesicles on the ear. These symptoms are often accompanied by vestibulocochlear dysfunction and other neurological and ophthalmological symptoms. The diagnosis and therapy requires a multidisciplinary approach. The authors present a typical case where the early administration of combined antiviral and systemic corticosteroid therapy led to complete recovery. The authors emphasize the importance of early diagnosis and adequate combination therapy, which improves the prognosis of this disease. Orv. Hetil., 2012, 153, 1281–1283.

Audiological manifestations of Ramsay Hunt syndrome

1990 ◽  
Vol 104 (2) ◽  
pp. 104-108 ◽  
Author(s):  
D. M. Wayman ◽  
H. N. Pham ◽  
F. M. Byl ◽  
K. K. Adour
Keyword(s):  
Hearing Loss ◽  
Facial Paralysis ◽  
Retrospective Review ◽  
Signs And Symptoms ◽  
Male Gender ◽  
Prognostic Indicators ◽  
Ramsay Hunt Syndrome ◽  
Statistical Correlations ◽  
Hunt Syndrome ◽  
Hearing Recovery

AbstractRamsay Hunt syndrome is known to cause audiological signs and symptoms, including sudden, unexpected hearing loss. We carried out a retrospective review of the audiological manifestations of 186 patients with Ramsay Hunt syndrome, measuring their hearing loss patterns, hyperacusis, tinnitus, herpetic rash, facial paralysis, pain and vertigo. Statistical correlations of these parameters were equated with prognosis. Prognosis for eventual hearing recovery is, in general, excellent. Prognostic indicators of poor hearing recovery include advanced age, retrocochlear hearing loss, male gender, vertigo, and speech frequency hearing loss.

scholarly journals Successful treatment of a kidney transplant patient with COVID-19 and late-onset Pneumocystis jirovecii pneumonia

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Jing Peng ◽  
Ming Ni ◽  
Dunfeng Du ◽  
Yanjun Lu ◽  
Juan Song ◽  
...  
Keyword(s):  
Kidney Transplant ◽  
Successful Treatment ◽  
Transplant Patient ◽  
Late Onset ◽  
Combined Treatment ◽  
Pneumocystis Jirovecii ◽  
Pneumocystis Jirovecii Pneumonia ◽  
Kidney Transplant Patient ◽  
Transplant Patients ◽  
Kidney Transplant Patients

Abstract Background Solid transplant patients are susceptible to Pneumocystis jirovecii pneumonia (PJP). While the vast majority of PJP cases occur within the first 6 months after transplantation, very few PJP cases are seen beyond 1 year post-transplantation (late-onset PJP). PJP and coronavirus disease 2019 (COVID-19, caused by infection with SARS-CoV-2) share quite a few common clinical manifestations and imaging findings, making the diagnosis of PJP often underappreciated during the current COVID-19 pandemic. To date, only 1 case of kidney transplantation who developed COVID-19 and late-onset PJP has been reported, but this patient also suffered from many other infections and died from respiratory failure and multiple organ dysfunction syndrome. A successful treatment of kidney patients with COVID-19 and late-onset PJP has not been reported. Case presentation We present a case of a 55-year-old male kidney transplant patient with COVID-19 who also developed late-onset PJP. He received a combined treatment strategy, including specific anti-pneumocystis therapy, symptomatic supportive therapy, adjusted immunosuppressive therapy, and use of antiviral drugs/antibiotics, ending with a favorable outcome. Conclusions This case highlights the importance of prompt and differential diagnosis of PJP in kidney transplant patients with SARS-CoV-2 infection. Further studies are required to clarify if kidney transplant patients with COVID-19 could be prone to develop late-onset PJP and how these patients should be treated.

scholarly journals Herpes Zoster Infection Presenting as Aseptic Meningitis and Dermatomal Rash in Immunocompetent Adult

2020 ◽  
Vol 2020 ◽  
pp. 1-3 ◽  
Author(s):  
Suyash Dawadi ◽  
Sudesh Lamsal ◽  
Bhupendra Shah
Keyword(s):  
Herpes Zoster ◽  
Varicella Zoster Virus ◽  
Aseptic Meningitis ◽  
Elderly Population ◽  
Virus Reactivation ◽  
Herpes Zoster Infection ◽  
Immunocompetent Adult ◽  
Varicella Zoster ◽  
Vesicular Rash ◽  
Immunocompromised Status

Herpes zoster is a localized, painful, and vesicular rash involving one or adjacent dermatomes caused by varicella-zoster virus reactivation. Herpes zoster presenting as aseptic meningitis is prevalent among elderly population and people with immunocompromised status. However, it is a rare phenomenon in the young immunocompetent adult; hence, we are reporting a case of a herpes zoster infection presenting as aseptic meningitis and dermatological manifestation in a 19-year-old immunocompetent male.

Ramsay Hunt syndrome with hearing loss and vertigo

2019 ◽  
Vol 84 (6) ◽  
pp. 69
Author(s):  
V. T. Palchun ◽  
A. L. Guseva ◽  
Yu. V. Levina
Keyword(s):  
Hearing Loss ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome
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