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Early Diagnosis and Treatment of Ramsay Hunt Syndrome: a Case Report

Overview
Journal Int J Emerg Med
Publisher Biomed Central
Specialty Emergency Medicine
Date 2025 Jan 3
PMID 39748319
Authors
Chen Yu
Haw-Yu Lee
Yen-Chia Chen
Affiliations
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Abstract

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.

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