A case of referred otalgia

37 yrs old male came with painful ulcer in the left oral cavity with pain in lt ear which progressed to severe burning pain in the left half of face with vesicular eruptions predominantly in the lower half of face, next day.past h/o chicken pox+. Hiv - Bcoz of predominant lt ear pain and 'stunned' feeling in lower part of face, it was suspected to b an evolving zoster oticus. Antivirals &steroids were given.7thN NAD. Audiometry N.With passage of time 5th N involv became clearer with eye involv.After skin lesions had healed,he had debilitating post herpetic neuralgia in the left ear.

Herpes zoster of the Trigeminal Nerve is a cause for referred otalgia.

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Tags: General Practice / Family Medicine, Medicine