Herpes zoster oticus: Difference between revisions
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==Background== | ==Background== | ||
Also know as "Herpes Zoster Oticus" | *Also know as "Herpes Zoster Oticus" | ||
*Infection of the auricle with associated facial paralysis usually involving CN VII but may involve CN V. | |||
*Caused by [[herpes zoster]] | |||
==Clinical Features== | ==Clinical Features== | ||
*Facial pain | *Facial pain | ||
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*Vesicles within external ear canal and on auricle | *Vesicles within external ear canal and on auricle | ||
**Develop over 3-7 days | **Develop over 3-7 days | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
*[[Otitis Externa]] | *[[Otitis Externa]] | ||
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#Oral analgesia | #Oral analgesia | ||
#Antiviral Options<ref>Uscategu T. et al. Antiviral therapy for Ramsay Hunt syndrome in adults. Cochrane Database Syst Rev. 2008</ref> | #Antiviral Options<ref>Uscategu T. et al. Antiviral therapy for Ramsay Hunt syndrome in adults. Cochrane Database Syst Rev. 2008</ref> | ||
##Acyclovir 800mg 5 times a day x 7 days | ##[[Acyclovir]] 800mg 5 times a day x 7 days | ||
##Famicyclovir 500mg TID x 7 days | ##Famicyclovir 500mg TID x 7 days | ||
##Valacyclovir 1000mg TID x 7 days | ##Valacyclovir 1000mg TID x 7 days | ||
Revision as of 13:01, 30 September 2014
Background
- Also know as "Herpes Zoster Oticus"
- Infection of the auricle with associated facial paralysis usually involving CN VII but may involve CN V.
- Caused by herpes zoster
Clinical Features
- Facial pain
- Errytema and Swelling of auricle
- Vesicles within external ear canal and on auricle
- Develop over 3-7 days
Differential Diagnosis
Workup
- History and physical
- Otoscopy
- Neuro exam focusing on Cranial nerve, crossed findings, upper and lower motor neuron involvement
Management
- Oral analgesia
- Antiviral Options[1]
- Acyclovir 800mg 5 times a day x 7 days
- Famicyclovir 500mg TID x 7 days
- Valacyclovir 1000mg TID x 7 days
Disposition
- Outpatient PMD followup
See Also
Sources
- ↑ Uscategu T. et al. Antiviral therapy for Ramsay Hunt syndrome in adults. Cochrane Database Syst Rev. 2008