Herpes zoster oticus
Revision as of 02:22, 5 June 2014 by Ostermayer (talk | contribs) (Created page with "==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. ==Clini...")
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.
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
- 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