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Ramsay-Hunt syndrome with vesicular stomatitis in a 4-year-old infant

Chihiro Koga1, Osamu Iwamoto, Masatora Aoki

  • 1Kurume University School of Medicine, Kurume, Japan. ckoga@med.kurume-u.ac.jp <ckoga@med.kurume-u.ac.jp>

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
|December 2, 2006
PubMed

Insights

Ramsay-Hunt syndrome (RHS) is rare in preschoolers. This case highlights a 4-year-old girl

Area of Science:

  • Pediatric Neurology
  • Infectious Diseases
  • Otolaryngology

Background:

  • Ramsay-Hunt syndrome (RHS) typically affects adults.
  • Preschool-aged children are rarely diagnosed with RHS.
  • Varicella-zoster virus reactivation is the cause of RHS.

Observation:

  • A healthy 4-year-old girl presented with oral pain and vesicles on the left soft palate and tongue.
  • No vesicles were observed on the left ear pinna.
  • Complete left facial paralysis developed subsequently.

Findings:

  • The patient was treated with acyclovir and corticosteroids.
  • Facial paralysis showed significant improvement within six months.
  • Complete resolution of facial paralysis was nearly achieved.

Implications:

  • Early diagnosis and treatment of RHS in children are crucial for favorable outcomes.
  • This case expands the understanding of RHS presentation in young children.
  • Prompt antiviral and steroid therapy can lead to near-complete recovery from facial paralysis in pediatric RHS.

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