Where are the vesicles? A case report of Ramsay Hunt syndrome
Farhan Fader1, Hardip Singh Gendeh2, Bee See Goh3
1MB ChB, Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Canselor Tuanku Muhriz UKM, Cheras, Kuala Lumpur, Malaysia,
Abstract:
A 1-year-10-month-old child developed left-sided Ramsay Hunt syndrome (RHS) without vesicles 1 month after an episode of varicella zoster infection. No ear symptoms, including hearing loss, tinnitus, or imbalance, were reported. The external ear and otoscopic examinations were unremarkable. He achieved adequate recovery with corticosteroid treatment. This case report discusses the unusual presentation of RHS without vesicles, the diagnostic dilemma in young children, varicella zoster virus hepatitis, treatment modalities, and the role of vaccination in its prevention.
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