title: Ramsay Hunt syndrome with atypical progress in a renal transplant recipient: a case report.
abstract: Ramsay Hunt syndrome is a rare complication of herpes zoster disease in which reactivation of latent varicella zoster virus infection occurs in the geniculate ganglion causing otalgia, unilateral vesicular eruption in a restricted dermatomal distribution, and peripheral facial paralysis. Dermal infections caused by human pathogenic herpes viruses are common in organ transplant recipients. For a transplant surgeon, it is imperative to remember that viral prophylaxis is essential in the follow-up of the transplant patients. Here, we presented a case of renal transplant and Ramsay Hunt syndrome with multiple cranial nerve involvement, with an atypical course. Management and differential diagnosis of this particular case are discussed with a review of the literature.
authors.affiliation: Haydarpasa Numune Research and Training Hospital, Department of General Surgery, Istanbul, Turkey. drleylaozel@gmail.com
authors.forename: Leyla
authors.initials: L
authors.lastname: Ozel
authors.forename: Sema Zer
authors.initials: SZ
authors.lastname: Toros
authors.forename: Ethem
authors.initials: E
authors.lastname: Unal
authors.forename: Melih
authors.initials: M
authors.lastname: Kara
authors.forename: Pinar Ata
authors.initials: PA
authors.lastname: Eren
authors.forename: Mustafa
authors.initials: M
authors.lastname: Canbakan
authors.forename: Mustafa
authors.initials: M
authors.lastname: Kucuk
authors.forename: Izzet
authors.initials: I
authors.lastname: Titiz
mesh_terms: D000328:Adult; D000914:Antibodies, Viral / Q000097:blood; D000998:Antiviral Agents / Q000627:therapeutic use; D018450:Disease Progression; D004433:Earache / Q000821:virology; D005157:Facial Pain / Q000821:virology; D005158:Facial Paralysis / Q000821:virology; D016697:Herpes Zoster Oticus / Q000188:drug therapy / Q000473:pathology / Q000821:virology*; D014645:Herpesvirus 3, Human / Q000276:immunology / Q000472:pathogenicity*; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D012874:Skin Diseases, Infectious / Q000821:virology; D016896:Treatment Outcome; D014717:Vertigo / Q000821:virology; D014775:Virus Activation
chemical_list: D000914:Antibodies, Viral; D000998:Antiviral Agents; D007166:Immunosuppressive Agents