Ramsay hunt syndrome in a person with HIV disease

Devaleenal, D Bella; Ahilasamy, Nagalingeswaran; Solomon, Suniti; Kumarasamy, Nagalingeswaran

doi:10.1007/s12070-008-0041-x

Cited by 4 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There is growing evidence that HIV/AIDS could either directly or indirectly, through opportunistic infections or ototoxic medication, have an adverse effect on the delicate structures of the ear, causing a conductive, mixed or sensorineural hearing loss [13][14][15][16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Vestibular involvement in adults with HIV/AIDS

Heinze¹,

Vinck²,

Hofmeyr³

et al. 2014

Auris Nasus Larynx

View full text Add to dashboard Cite

Objective HIV/AIDS is responsible for widespread clinical manifestations involving the head, and neck. The prevalence and nature of vestibular involvement is still largely unknown. This study, aimed to describe and compare the occurrence and nature of vestibular involvement among a group of, adults infected with HIV compared to a control group. It also aimed to compare the vestibular function, of symptomatic and asymptomatic HIV positive adults who receive antiretroviral (ARV) therapies to, subjects not receiving ARV. MethodsA cross-sectional study was conducted on 53 adults (29 male, 24 female, aged 23-49 years, mean = 38.5, SD = 4.4) infected with HIV, compared to a control group of 38 HIV negative adults (18, male, 20 female, aged 20-49 years, mean = 36.9, SD = 8.2). A structured interview probed the subjective, perception of vestibular symptoms. Medical records were reviewed for CD4+ cell counts and the use of, ARV medication. An otologic assessment and a comprehensive vestibular assessment (bedside, assessments, vestibular evoked myogenic potentials, ocular motor and positional tests and bithermal, caloric irrigation) were conducted.

show abstract

Section: Introductionmentioning

confidence: 99%

Vestibular involvement in adults with HIV/AIDS

Heinze¹,

Vinck²,

Hofmeyr³

et al. 2014

Auris Nasus Larynx

View full text Add to dashboard Cite

show abstract

“…HIV-infected patients have twenty times more risk of developing HZ than their age-matched seronegative persons and about 30% of HIV persons develop zoster at least once within 12 years after the diagnosis of HIV. [7]…”

Section: Discussionmentioning

confidence: 99%

Ramsay Hunt syndrome in a patient with human immunodeficiency virus infection

Gupta¹

2017

Indian J Sex Transm Dis

View full text Add to dashboard Cite

Ramsay Hunt syndrome (RHS) is a rare, severe complication of varicella-zoster virus reactivation in the geniculate ganglion, characterized by hearing loss, pain, and vesicles in the ear or mouth along with ipsilateral facial palsy. Although it is rare, it is more commonly found with immunodeficiency conditions. We report a case of a 35-year-old human immunodeficiency virus positive male, having CD4+ count of 336/μl, who presented with RHS and had vertigo, painful vesicular eruptions on the right ear and unilateral sensorineural hearing loss. He was treated immediately with valacyclovir and prednisolone, and the complete recovery was achieved at 6 months after the onset.

show abstract

“…It is characterized by a Bell's phenomenon, ear pain, and vesicles in the ipsilateral auricle and external auditory meatus. 1,2 Facial muscle paralysis can be assessed using the House -Brackmann staging. 3 Varicella -zoster infection can be a feature of Acquired Immunodeficiency Syndrome (AIDS) stage 2.…”

Section: Introductionmentioning

confidence: 99%

Case Report Ramsay Hunt Syndrome presenting as “a window’’ to HIV diagnosis in 48 year old African female: A case report

Chinyathi¹,

Chiweza²,

Kapembwa³

2017

MJZ

View full text Add to dashboard Cite

Background: Ramsay Hunt Syndrome in adults is reported in a number of case reports as an uncommon presentation of Varicella zoster Virus infection. Ramsay Hunt Syndrome occurs when there is reactivation of the latent Varicella zoster virus present in the ganglia due to previous varicella infection. Following a breakdown of the immune system, latent Varicella zoster infection can be activated. HIV (Human Immunodeficiency Virus infection), causes immunosuppression and hence reactivation of Varicella zoster. The diagnosis of Ramsay Hunt Syndrome, gives a window of opportunity to investigate for HIV. Here we report our first case of Ramsay Hunt syndrome as a presenting feature of HIV disease in an apparently healthy looking 48 year old black African female who was unaware of her HIV status at the time of presentation. This case is reported in order to highlight the need to use Ramsay Hunt Syndrome as a window of opportunity to screen for underlying HIV. Case presentation: A 48 year old black African female who was unaware of her HIV status, presented to our outpatients department with a two day history of painful right ear pain, vesicles on the right pinna and inability to completely close her right eye, her mouth was deviated to the left, with a wrinkle free frown. She denied any alteration in taste sensation and hyperacusis. She had a grade IV House-Brackmann facial paralysis.A diagnosis of Ramsay Hunt Syndrome was made and an HIV test was offered, the test was positive for HIV.A subsequent HAART (Highly Active Antiretroviral Therapy) work up, revealed CKD 3B (Chronic Kidney Disease stage 3B) and a CD4 (cluster of differentiation 4) count of 217 cells/µl .She was started on antiretroviral therapy 2 weeks after completing a 10 day regimen of acyclovir. In addition to her drug treatment she received ocular care and physiotherapy. Four months on her facial nerve function has improved modestly. Conclusion: An HIV test should be an indispensable part of the Ramsay Hunt syndrome workup, as its diagnosis gives a window of opportunity to diagnose HIV and offer life- saving HAART.

show abstract

Ramsay hunt syndrome in a person with HIV disease

Cited by 4 publications

References 8 publications

Vestibular involvement in adults with HIV/AIDS

Vestibular involvement in adults with HIV/AIDS

Ramsay Hunt syndrome in a patient with human immunodeficiency virus infection

Case Report Ramsay Hunt Syndrome presenting as “a window’’ to HIV diagnosis in 48 year old African female: A case report

Contact Info

Product

Resources

About