以声嘶为首发症状的Ramsey-Hunt综合征1例

Ramsey-Hunt syndrome with initial syndrome of hoarseness:a case report

1病例报告患者,男,65岁,因声嘶伴饮水呛咳3d于2016年9月7日入院。患者主诉3d前无明显诱因出现声嘶,伴饮水呛咳、咽痛、咽部异物感,无咳嗽、咳痰,无吞咽困难、呼吸困难,无发热、全身酸痛,于当地医院给予抗炎药物及激素药物静脉滴注(具体药物不详),症状未见好转。既往高血压、糖尿病6年,自测血压最高达150/97 mmHg(1 mmHg=0.133kPa),血糖未规律监测.

Ramsey-Hunt syndrome is caused by the varicella zoster virus,which mainly affects the facial nerve.The typical clinical features of Ramsey-Hunt syndrome are peripheral facial paralysis and ear herpes.In this case,initial symptoms were hoarseness and coughing,afterwards typical symptom occurred 5 days later which were earache,late-onset herpes,and facial paralysis.Ramsey-Hunt syndrome are difficult to diagnose because of its seemingly unrelated initial symptoms.