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Herpes Zoster of The Larynx: A Narrow Diagnostic and Therapeutic Window
Catherine F Roy1, Sena Turkdogan1, Jennifer A Silver1
1Department of Otolaryngology Head and Neck Surgery, McGill University Health Centre, Montreal, QC, Canada.
Abstract:
We hereby present a rare case of laryngeal zoster presenting with unilateral odynophagia and hemifacial pain in an immunocompetent host. Visualization of the characteristic vesicles is challenging given their short-lived and at times delayed appearance; thus, laryngeal zoster may be a largely unrecognized cause of laryngitis and cranial neuropathies. Heightened awareness may improve prompt diagnosis, referral and initiation of antiviral therapy, while guiding patient counselling on the associated long-term sequelae such as voice and swallowing impairments, and post-herpetic neuralgia.
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