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Ramsay Hunt Syndrome with Pharyngolaryngeal Involvement Mimicking Acute Stroke: A Case Report
We present a 56-year-old male patient who was diagnosed with acute pharyngitis. Two days later, the patient developed dysarthria, hoarseness, and left side facial weakness. Considering a patient's history of cardiovascular events, the acute stroke was suspected. Magnetic resonance imaging ruled out an acute cerebrovascular accident. The patient's otalgia aggravated and he reported hearing loss. Clinical examination revealed facial paralysis affecting the left side of the face, erythematous rash on the left auricle, multiple vesicles present on patient's left tympanic membrane, ulcerous lesion on the left side of the soft p...
Source: Herpes - August 28, 2023 Category: Infectious Diseases Authors: Svetlana Valjarevic Jelena Gavric Sara Dragovic Milan B Jovanovic Source Type: research

Herpes Simplex Virus Meningoencephalitis Masquerading as Acute Stroke With Broca's Aphasia: A Case Report
This report highlights the importance of considering herpes encephalitis as a potential etiology in patients presenting with atypical neurological symptoms, even in the absence of typical radiological findings. Early diagnosis and appropriate management with acyclovir are crucial in improving outcomes in such cases.PMID:37476130 | PMC:PMC10354683 | DOI:10.7759/cureus.40618
Source: Herpes - July 21, 2023 Category: Infectious Diseases Authors: Gagandeep Singh Arora Don Phung Parneet Kaur Source Type: research

Valacyclovir-associated acute kidney injury and encephalopathy in an elderly woman with normal kidney function: a case report
CEN Case Rep. 2022 Nov 18. doi: 10.1007/s13730-022-00748-5. Online ahead of print.ABSTRACTA 72-year-old Japanese woman was treated by 3000 mg/day of valacyclovir for the herpes zoster in her left back. She had been treated as hypertension with no renal insufficiency. In two days, she visited an emergency room of a regional stroke care center with dysarthria, dexterity disorder and gait disturbance. Neither head CT nor MRI found intracranial lesions, then, laboratory tests revealed that her serum creatinine level was 4.63 mg/dL. She was transferred and admitted to our hospital on the following day and received hemodialysis ...
Source: Herpes - November 18, 2022 Category: Infectious Diseases Authors: Kazufumi Kato Reiichi Murakami Hiroshi Shiroto Daiki Nagawa Ikuyo Narita-Kinjo Takeshi Fujita Michiko Shimada Hirofumi Tomita Source Type: research

Herpes simplex encephalitis presenting as a stroke-like episode following a migraine attack: a case report
Rinsho Shinkeigaku. 2022 Jun 24. doi: 10.5692/clinicalneurol.cn-001745. Online ahead of print.ABSTRACTA 23-year-old woman, who had been suffering from migraine since primary school age, presented with left arm paralysis three days after one such migraine attack. On admission, brain MRI diffusion-weighted imaging (DWI) demonstrated high-signal-intensity lesions in the white matter of the right fronto-parietal lobe, and no abnormal lesions were evident in the limbic system. Although the patient had a fever of 38.7°C, the CSF cell count was not elevated. On the 4‍th day, the left arm paralysis worsened, with an increase in...
Source: Herpes - June 26, 2022 Category: Infectious Diseases Authors: Moeno Yamamoto Masaki Namekawa Masanori Ishikawa Hiroyuki Watanabe Mutshuo Oyake Nobuya Fujita Source Type: research

Elsberg Syndrome, Lumbosacral Radiculopathy, and Myelitis Due to Herpes Zoster in a Patient With Smoldering Myeloma
J Investig Med High Impact Case Rep. 2022 Jan-Dec;10:23247096211063348. doi: 10.1177/23247096211063348.ABSTRACTHerpes zoster (HZ) is a common illness caused by the reactivation of latent varicella zoster virus (VZV) due to waning immunity, often secondary to old age or an underlying immunocompromised state. Its complications can manifest in variety of ways, including persistent neuralgias, vasculopathies, and stroke. Here, we describe a case of a 45-year-old man with a history of cryptogenic stroke and smoldering myeloma who was admitted with sacral HZ complicated by right lumbosacral radiculopathy and myelitis, otherwise ...
Source: Herpes - January 25, 2022 Category: Infectious Diseases Authors: Rohan Desai Cynthia T Welsh Samuel O Schumann Source Type: research