Ramsay Hunt Syndrome Revealing HIV Conditions ()
ABSTRACT
Objective: To discuss the diagnostic, therapeutic, and
evolutionary aspects of a case of herpes zoster oticus associated with facial
palsy in HIV conditions. Case Study: We report the case of a 32-year-old married female beautician patient
admitted with severe right otalgia associated with a fever that had been
evolving for three days. The addition of homolateral otorrhea and headache was
noted. The initial examination on admission noted a vesicular rash of the pinna and the external third of the
right external auditory canal with a normal tympanic membrane. The evolution was marked
48 hours later by the appearance of a right facial palsy grade V. The CT scan
of the rock showed a mastoid and maxillary sinus hypodensity. The paraclinical
exploration found a positive retroviral serology to HIV 1 and 2. The diagnosis
retained was a Ramsay Hunt syndrome on HIV condition associated with
ipsilateral maxillary sinusitis and mastoiditis. The treatment administered was a combination of
amoxicillin/clavulanic acid injection of 3 g per day + oral aciclovir 200 mg, acetaminophen 1 g injectable every 6 h, betamethasone 4mg per day, vitamin B complex, artificial tear.
Therapeutic inclusion in the HIV/AIDS national program was performed. The
evolution was marked by the total regression of the facial palsy after six
months of treatment. Conclusion: Otogenic diseases in HIV remain a
problem in our context where the circumstances of discovery are most often
fortuitous, hence the need to search for the serological status in front
of any suspicion of viral infection in adults. The status may constitute a triggering factor or a factor of the severity of the pathology or of the symptoms such as facial palsy or
deafness in our case. Early and adapted management has been shown to improve
the prognosis.
Share and Cite:
Ngniee Tafo, G. , Kone, F. , Maiga, B. and Keita, M. (2022) Ramsay Hunt Syndrome Revealing HIV Conditions.
International Journal of Otolaryngology and Head & Neck Surgery,
11, 112-118. doi:
10.4236/ijohns.2022.113012.
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