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Meningitis and Ramsay-Hunt syndrome in a 17-year old girl
Carlo Bienkowski1, Monika Kowalczyk1, Ewa Talarek2
1Student's Scientific Group at Department of Children's Infectious Diseases, Medical University of Warsaw, Poland.
Introduction:
Ramsay Hunt syndrome (RHS) is a rare manifestation of varicella-zoster virus (VZV) reactivation in geniculate ganglion. It usually manifests with a characteristic triad of symptoms including ipsilateral ear pain, vesicles in the external auditory canal, and facial nerve palsy.
Case:
We present a case report showing RHS additionally manifested by meningitis and involvement of VIII cranial nerve. Clinical course was complicated by acute kidney injury induced by acyclovir therapy.
Results:
Despite the involvement of the geniculate ganglion and vestibulocochlear nerve in the course of herpes zoster, and the occurrence of acute kidney injury, the patient fully recovered.
Conclusions:
A complete recovery of cranial nerves VII and VIII in the course of RHS can be achieved.
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