%0 Journal Article
%T Ramsay Hunt Syndrome Revealing HIV Conditions
%A Ghislaine Neuilly Ngniee Tafo
%A Fatogoma Issa Kone
%A Boubacar Maiga
%A Mohamed Keita
%J International Journal of Otolaryngology and Head & Neck Surgery
%P 112-118
%@ 2168-5460
%D 2022
%I Scientific Research Publishing
%R 10.4236/ijohns.2022.113012
%X <b><span style=\"font-family:&quot;\">Objective: </span></b><span style=\"font-family:&quot;\">To discuss the diagnostic, therapeutic</span><span style=\"font-family:&quot;\">,</span><span style=\"font-family:&quot;\"> and
evolutionary aspects of a case of herpes zoster oticus associated with facial
palsy in HIV conditions.</span><span style=\"font-family:&quot;\"> </span><b><span style=\"font-family:&quot;\">Case Study:</span></b><span style=\"font-family:&quot;\"> 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.</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:&quot;\">The initial examination on admission noted a vesicular<span> rash of the pinna and the external third of the
right external auditory canal with </span></span><span style=\"font-family:&quot;\">a </span><span style=\"font-family:&quot;\">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. </span><span style=\"font-family:&quot;\">The treatment administered was a combination of
amoxicillin/clavulanic acid injection </span><span style=\"font-family:&quot;\">of </span><span style=\"font-family:&quot;\">3</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:&quot;\">g per day + oral aciclovir 200</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:&quot;\">mg, acetaminophen</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:&quot;\">1</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:&quot;\">g injectable every 6</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:&quot;\">h, betametha</span><span style=\"font-family:&quot;\">s</span><span style=\"font-family:&quot;\">one 4mg per day, vitamin B complex, artificial tear.
Therapeutic inclusion in the HIV/AIDS </span><span style=\"font-family:&quot;\">national program <span>was performed. The
evolution was marked by the total regression of the facial palsy after six
months of treatment. <b>Conclusion:</b> Otogenic diseases in HIV remain a
problem in our context where the
%K RAMSAY HUNT Syndrome
%K Zona
%K Ear
%K Facial Paralysis
%K HIV
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=117249