Herpes Zoster Oticus with Laryngeal Involvement: A Case Report

Abstract

Herpes zoster oticus is the most common form of reactivation of varicella zoster virus in the head and neck area. Although reactivation of the virus is frequently associated with cranial polyneuropathy, concurrent involvement of the vagus nerve with consequent laryngeal paralysis is a rare clinical entity. We report an 80-year-old man presenting with typical manifestations of herpes zoster oticus, including characteristic herpetic auricular rash, vertigo, and facial nerve paralysis. Laryngeal involvement by the virus was noted by laryngoscopic examination, which revealed laryngeal paralysis and mucosal lesion on the ipsilateral side. Because laryngeal paralysis may result in aspiration with consequent pulmonary infections, especially in patients of advanced age, it is therefore advised that the larynx should be examined in cases of herpes zoster of the head and neck.