Abstract
A NARRATIVE OF RAMSAY HUNT SYNDROME IN COVID 19 INFECTION

Emmanuel Joachim Nebuwa*, Evaristus Chinonye Ezema, David Chibututu Nwobu, Celestina Chinyere Udeh and Chinwe Uzoma Nwune

ABSTRACT

Ramsay Hunt Syndrome (RHS) is associated with substantial morbidity. It is caused by reactivation of the latent varicella zoster virus following decline in cell-mediated immunity but occurs in individuals with immunosuppressive diseases. The COVID-19 infection, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is associated with T cell immune dysfunction. There are growing reports of Ramsay Hunt Syndrome in COVID-19 patients. Therefore, we have performed a review of available literature on the association of the COVID-19 with Ramsay Hunt Syndrome. We selected 6 cases of Ramsay Hunt Syndrome following COVID-19, which occurred within 1–6 weeks of COVID-19. Most of the cases of the Covid-19 had mild presentation with co-existing RHS. It was hypothesized that RHS occurs following varicella zoster virus reactivation as a result of T cell dysfunction. Care providers should be aware of the possible risk of RHS in the Covid-19 infection and consider immediate therapeutic interventions against it.

Keywords: COVID-19; Herpes zoster; Ramsay Hunt Syndrome.


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