Herpes zoster oticus
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
- 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