A Case of Associated Laryngeal Paralysis Caused by Varicella Zoster Virus without Eruption.
We report a patient with significant weakness of the left soft palate, paralysis of the left vocal cord, and left facial nerve palsy. Although the patient showed no herpetic eruption in the pharyngolaryngeal mucosa and auricle skin, reactivation of varicella zoster virus (VZV) was confirmed by serological examination. She was diagnosed with zoster sine herpete. After treatment with antiviral drugs and corticosteroids, her neurological disorder improved completely. When we encounter a patient with associated laryngeal paralysis, we should consider the possibility of reactivation of VZV even when no typical herpetic eruption is observed.
Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Hokkaido University, Kita-Ku, N15W7, Hokkaido, Sapporo 0608638, Japan.
Keishi
K
Fujiwara
Department of Otolaryngology, Head and Neck Surgery, Teine-Keijinkai Hospital, Sapporo 0068555, Japan.
Yasushi
Y
Furuta
Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Hokkaido University, Kita-Ku, N15W7, Hokkaido, Sapporo 0608638, Japan.
Satoshi
S
Fukuda