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. 2014:2014:916265.
doi: 10.1155/2014/916265. Epub 2014 Mar 12.

A Case of Associated Laryngeal Paralysis Caused by Varicella Zoster Virus without Eruption

Keishi Fujiwara  1 , Yasushi Furuta  2 , Satoshi Fukuda  1
Affiliations

A Case of Associated Laryngeal Paralysis Caused by Varicella Zoster Virus without Eruption

Keishi Fujiwara et al. Case Rep Med. 2014.

Abstract

We report a patient with significant weakness of the left soft palate, paralysis of the left vocal cord, and left facial nerve palsy. Although the patient showed no herpetic eruption in the pharyngolaryngeal mucosa and auricle skin, reactivation of varicella zoster virus (VZV) was confirmed by serological examination. She was diagnosed with zoster sine herpete. After treatment with antiviral drugs and corticosteroids, her neurological disorder improved completely. When we encounter a patient with associated laryngeal paralysis, we should consider the possibility of reactivation of VZV even when no typical herpetic eruption is observed.

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Figures

Figure 1
Figure 1
Laryngoscopic examination. Laryngoscopy revealed saliva pooling in the left piriform sinus. No eruption was observed in the pharyngolaryngeal mucosa.
See this image and copyright information in PMC

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