Difference between revisions of "Herpes zoster oticus"

(Sources)
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==Background==
 
==Background==
Also know as "Herpes Zoster Oticus" which is an infection of the auricle with associated facial paralysis usually involving CN VII but may involve CN V.
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*Also know as "Herpes Zoster Oticus"  
 +
*Infection of the auricle with associated facial paralysis usually involving CN VII but may involve CN V.
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*Caused by [[herpes zoster]]
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==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
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==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
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##[[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

  1. Oral analgesia
  2. Antiviral Options[1]
    1. Acyclovir 800mg 5 times a day x 7 days
    2. Famicyclovir 500mg TID x 7 days
    3. Valacyclovir 1000mg TID x 7 days

Disposition

  • Outpatient PMD followup

See Also

Sources

  1. Uscategu T. et al. Antiviral therapy for Ramsay Hunt syndrome in adults. Cochrane Database Syst Rev. 2008