Dysphagia with Unilateral Vocal Cord Paralysis in Herpes Zoster: A Case Report
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초록
Herpes zoster is caused by the varicella-zoster virus, which becomes latent in ganglia afterprimary infection. When the varicella-zoster virus reactivates on the cranial nerve, the pa-tient can suffer from cranial nerve palsy, pain, and skin lesions on the head and neck area. A57-year-old immunocompetent male presented with dysphagia lasting 10 days. Computedtomography and other neurological findings were normal. However, laryngoscopy showedright vocal cord paralysis, which might be the reason for dysphagia in this patient. Therewas a grouped crusted lesion on the right posterior auricular area that appeared 5 days afterthe dysphagia. After famciclovir and prednisolone combination therapy, the patient wascured with no sequelae. This is a rare case of herpes zoster in an immunocompetent patientwho presented with dysphagia. In addition, it was difficult to make an accurate diagnosisbecause his skin lesion appeared several days after dysphagia.
Abstract
Herpes zoster is caused by the varicella-zoster virus, which becomes latent in ganglia afterprimary infection. When the varicella-zoster virus reactivates on the cranial nerve, the pa-tient can suffer from cranial nerve palsy, pain, and skin lesions on the head and neck area. A57-year-old immunocompetent male presented with dysphagia lasting 10 days. Computedtomography and other neurological findings were normal. However, laryngoscopy showedright vocal cord paralysis, which might be the reason for dysphagia in this patient. Therewas a grouped crusted lesion on the right posterior auricular area that appeared 5 days afterthe dysphagia. After famciclovir and prednisolone combination therapy, the patient wascured with no sequelae. This is a rare case of herpes zoster in an immunocompetent patientwho presented with dysphagia. In addition, it was difficult to make an accurate diagnosisbecause his skin lesion appeared several days after dysphagia.
참고문헌 (12)
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