# Bilateral sequential Ramsay Hunt syndrome in an immunocompromised adult: a rare entity

**Authors:** S Sheik-Ali, Y Jiang, H Nasef, E Sproson, O Tuohy

PMC · DOI: 10.1308/rcsann.2022.0133 · 2023-11-30

## TL;DR

This paper reports a rare case of bilateral Ramsay Hunt syndrome in an immunocompromised adult with sequential symptoms.

## Contribution

The novelty lies in documenting a rare occurrence of bilateral sequential Ramsay Hunt syndrome in an immunocompromised individual.

## Key findings

- Bilateral Ramsay Hunt syndrome can present with sequential symptom onset in immunocompromised adults.
- The case highlights the importance of considering this condition in patients with bilateral facial weakness.

## Abstract

Bilateral Ramsay Hunt syndrome is a rare clinical entity. We present a case of bilateral Ramsay Hunt syndrome in an immunocompromised adult, with sequential symptom onset. It is important to consider this as a differential diagnosis in patients presenting with bilateral lower motor neuron facial weakness.

## Linked entities

- **Diseases:** Ramsay Hunt syndrome (MONDO:0005769)

## Full-text entities

- **Genes:** MUC16 (mucin 16, cell surface associated) [NCBI Gene 94025] {aka CA125}
- **Diseases:** facial nerve palsy (MESH:D005155), otalgia (MESH:D004433), vesicles (MESH:C567751), zoster sine herpete (MESH:D031368), erythematous vesicular rash (MESH:D005076), sensorineural hearing loss (MESH:D006319), Ramsay Hunt syndrome (MESH:D016697), nausea (MESH:D009325), vertigo (MESH:D014717), Lyme disease (MESH:D008193), ovarian cancer (MESH:D010051), carcinomatosis (MESH:D002277), hearing loss (MESH:D034381), IAM (MESH:D006258), metastatic (MESH:D000092182), auditory canal (MESH:C566245), poorly controlled diabetes mellitus (MESH:D003920), vesicular eruption (MESH:D012872), nystagmus (MESH:D009759), tinnitus (MESH:D014012), bilateral lower motor neuron facial weakness (MESH:D005158), necrotic (MESH:D009336), vomiting (MESH:D014839), Bell's palsy (MESH:D020330), cancer (MESH:D009369), facial weakness (MESH:D018908), reduced left-sided hearing (MESH:C537001)
- **Species:** Borreliella burgdorferi (Lyme disease spirochete, species) [taxon 139], Human alphaherpesvirus 3 (Varicella-zoster virus, no rank) [taxon 10335], Human immunodeficiency virus 1 (no rank) [taxon 11676], Homo sapiens (human, species) [taxon 9606]

## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC10830337/full.md

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Source: https://tomesphere.com/paper/PMC10830337