The AAO Journal, 2013/12, 23(4):8-17, type of study: ,cr,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Free full text   (https://www.academyofosteopathy.org/aaoj)

Keywords:

HIV [42]
OMT [3924]
osteopathic manipulative treatment [3945]
Ramsay Hunt syndrome [1]
case report [736]

Abstract:

A 31-year-old male presents with a skin rash on a few locations on his left ear and left forehead. A presumptive diagnosis of impetigo is made and treatment is initiated. Several days later, the same patient returns with facial paralysis on the side of the skin lesions. A diagnosis of Ramsay Hunt syndrome is made and then confirmed through tissue pathologic analysis and PCR analysis. Ramsay Hunt syndrome, the reactivation of herpes zoster virus within the geniculate ganglion of the facial nerve, presents with a variety of facial nerve pathologies including skin rash and facial paralysis as it did in this case. It can present with a variety of other cranial nerve neuropathic presentations, as it did in this case as well. Adjuvant treatment with osteopathic manipulative treatment (OMT) was initiated at the onset of the facial palsy. HIV patients with Ramsay Hunt syndrome have showed to have a propensity to more severe neurologic symptoms and complications. In this case, the patient resulted in complete resolution of all his symptoms.