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Korean J Crit Care Med > Volume 26(4); 2011 > Article
Korean Journal of Critical Care Medicine 2011;26(4): 267-271. doi: https://doi.org/10.4266/kjccm.2011.26.4.267
Ramsay Hunt 증후군 환자에서 발생한 중증 폐혈전색전증 1예-증례 보고-
이종후ㆍ고성주ㆍ성길명ㆍ김미옥ㆍ이재천ㆍ한상훈ㆍ최재철*ㆍ김이형†
제주대학교 의학전문대학원 내과학교실, *신경과학교실, †경희대학교 의과대학 강동경희대학교병원 호흡기내과
A Case of Massive Pulmonary Thromboembolism Associated with Ramsay Hunt Syndrome: A Case Report
Jong Hoo Lee, Seong Joo Koh, Gil Myeong Seong, Miok Kim, Jae Chun Lee, Sang Hoon Han, Jay Chol Choi, Yee Hyung Kim
1Department of Internal Medicine, School of Medicine, Jeju National University, Korea.
2Department of Neurology, School of Medicine, Jeju National University, Korea.
3Department of Pulmonary Medicine, Kyung Hee University Hospital at Gangdong, School of Medicine, KyungHee University, Korea. yeehyung@gmail.com
ABSTRACT
Ramsay Hunt syndrome associated with the Varicella zoster virus (VZV) infection is characterized by vesicles on the pinna, otalgia, facial nerve palsy and sensorineural hearing loss. Although significant complications from VZV infection are increasing, thrombosis associated with VZV infection is one of the rare complications in adults. The VZV itself could cause endothelial damage in the various organs. Subsequently, the thrombosis might be complicated. A previously healthy 84 year-old female patient was diagnosed with Ramsay Hunt syndrome. On the 7th day of antiviral treatment, she complained of sudden breathlessness. She was hypoxemic with an elevated alveolar-arterial oxygen difference and needed to be supported by mechanical ventilation. Massive pulmonary thrombosis was documented by computerized tomography and she successfully underwent thrombolytic therapy. We report a case of massive pulmonary thromboembolism associated with VZV infection, treated with thrombolytic therapy.
Key Words: herpes zoster; pulmonary embolism; Ramsay Hunt paralysis syndrome; thrombolytic therapy
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