Herpes zoster oticus
Revisión del 13:01 30 sep 2014 de Rossdonaldson1 (discusión | contribs.)
Background
- Also know as "Herpes Zoster Oticus"
- Infection of the auricle with associated facial paralysis usually involving CN VII but may involve CN V.
- Caused by herpes zoster
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[1]
- 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
See Also
Sources
- ↑ Uscategu T. et al. Antiviral therapy for Ramsay Hunt syndrome in adults. Cochrane Database Syst Rev. 2008