Temuan Klinis dan Terapi Dini pada Anak dengan Sindrom Ramsay-Hunt

Abstract

Introduction: Ramsay-Hunt syndrome is a complication of the varicellazoster virus that causes inflammation of the geniculate ganglion cranial
nerve VII. This disease is a rare case in children. This case report aims to
highlight the importance of diagnosis, early examination, and
appropriate therapy to prevent complications and poor prognosis. Case
Illustration: A 9 year-old girl presented with clear fluid-filled blisters in
her left ear for four days before going to the hospital. Two days after the
lesions came out, she complained of her face feeling tilted to the right,
difficulty close her left eye, and the corner of her mouth being more
drawn towards the normal side. The left auricular helix fossa region
showed a rash of multiple vesicles in groups containing clear fluid with
an erythematous skin base, distributed unilaterally according to the
dermatome. The patient was diagnosed with Ramsay-Hunt syndrome.
She was treated with a combination of oral acyclovir and
methylprednisolone injections. Discussion: Antiviral therapy within 24–
72 hours after the onset of the rash is very effective for healing of the rash
and reducing the duration of pain. Corticosteroid as an antiinflammatory can reduce peripheral nerve damage and edema.
Combination of corticosteroid with acyclovir for 7 days in herpes zoster
accompanied by facial paralysis is very effective in significantly reducing
acute pain and reducing the risk of complications. Conclusion:The exact
diagnosis and combination of antiviral with corticosteroid therapy in
children can be beneficial in reducing the duration of lesions and pain as
well as the risk of complications.