Herpes zoster oticus: Difference between revisions
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==Management== | ==Management== | ||
#Oral analgesia | #Oral analgesia | ||
#Antiviral Options | #Antiviral Options<ref>Uscategu T. et al. Antiviral therapy for Ramsay Hunt syndrome in adults. Cochrane Database Syst Rev. 2008</ref> | ||
##Acyclovir 800mg 5 times a day x 7 days | ##Acyclovir 800mg 5 times a day x 7 days | ||
##Famicyclovir 500mg TID x 7 days | ##Famicyclovir 500mg TID x 7 days | ||
##Valacyclovir 1000mg TID x 7 days | ##Valacyclovir 1000mg TID x 7 days | ||
==Disposition== | ==Disposition== | ||
*Outpatient PMD followup | *Outpatient PMD followup | ||
Revision as of 02:24, 5 June 2014
Background
Also know as "Herpes Zoster Oticus" which is an infection of the auricle with associated facial paralysis usually involving CN VII but may involve CN V.
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