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題 名 | Unilateral Exudative Supraglottic Laryngitis with Ipsilateral Otitis Externa--A Special Presentation of Cephalic Herpes Zoster Infection=單側滲出性上喉炎合併同側外耳炎--一例表現特殊的頭頸部帶狀疱疹感染 |
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作 者 | 賴穎臻; 謝松樺; 張欣平; | 書刊名 | 臺灣耳鼻喉頭頸外科雜誌 |
卷 期 | 49:2 2014.04-06[民103.04-06] |
頁 次 | 頁116-122 |
分類號 | 416.89 |
關鍵詞 | 迷走神經帶狀疱疹; 喉炎; 外耳炎; 帶狀疱疹病毒; 迷走神經; Vagal herpes zoster; Laryngitis; Otitis externa; Varicella-zoster virus; Vagus nerve; |
語 文 | 英文(English) |
中文摘要 | 頭頸部帶狀疱疹除了以常見的三叉神經或耳性帶狀疱疹表現外,也可以其他特殊的形式表現,但在無顏面皮膚病灶或運動神經麻痺的狀況下,不易懷疑是帶狀疱疹。1名67歲男性因突發嚴重左側喉痛及耳痛就診,但局部檢查起初並無特殊發現。兩天後再度求診出現左側滲出性上喉炎,然後同側外耳道口下方出現少許水泡,這些臨床表現使我們開始懷疑是迷走神經的帶狀疱疹感染,後來也由血清學抗體檢驗證實。患者症狀在使用acyclovir後改善。帶狀疱疹的診斷通常是靠臨床表徵。但只影響迷走神經的帶狀疱疹感染很少見,在發病初期也容易誤診。當有急性單側喉痛合併耳痛、沙啞、或吞嚥困難,特別是隨後出現同側喉部或咽部潰瘍或滲出物、或同側聲帶、軟腭麻痺,應懷疑有迷走神經帶狀疱疹感染。但只有部份非特定表徵時診斷較困難。同側外耳出現皮膚病灶也指向是迷走神經帶狀疱疹。早期診斷並適時給予抗病毒藥物,對防止疾病繼續惡化、得到良好癒後很有幫助。 |
英文摘要 | Cephalic herpes zoster presents in forms other than the more commonly seen trigeminal herpes zoster or Ramsey-Hunt Syndrome. In the absence of facial skin lesions or motor nerve weakness, it is easily misdiagnosed. A 67-year-old male first presented to our outpatient clinic with left-sided sore throat and earache and no other positive physical findings. Subsequently, he developed unilateral (left side) exudative supraglottic laryngitis, followed by vesicles over the ipsilateral external ear meatus. Varicella-zoster virus infection of the vagus nerve was suspected based on the clinical findings and confirmed by serologic tests. Symptoms improved after administration of Acyclovir. The diagnosis of herpes zoster usually depends on clinical symptoms and signs. Herpes zoster infection involving only the vagus nerve is rare and easily misdiagnosed in the early stage of the disease. Vagal zoster should be suspected with symptoms such as unilateral sore throat with earache, hoarseness, or dysphagia, especially when followed by ipsilateral laryngeal/pharyngeal mucosal ulcers/exudates and/or ipsilateral vocal fold/ palatal weakness. Diagnosis of vagal zoster is difficult when only non-specific symptoms/signs are present. Skin lesions over the ipsilateral external ear are also suggestive of the disease. Early diagnosis and timely administration of antiviral agents may inhibit further progression of the disease and lead to a better outcome. |
本系統中英文摘要資訊取自各篇刊載內容。