Herpes Labialis and Facial- Nerve Paralysis

作者:Park E Peter*; Boulmay Brian C
来源:New England Journal of Medicine, 2014, 370(11): 1048-1048.
DOI:10.1056/NEJMicm1305786

摘要

A 65-year-old woman presented to the emergency department with odynophagia, facial edema, and perioral swelling with crusting blisters containing clear fluid. One week earlier, she had completed one cycle of treatment with rituximab and bendamustine for CLL. A 65-year-old woman presented to the emergency department with odynophagia, facial edema, and perioral swelling with crusting blisters containing clear fluid (Panel A). One week earlier, she had completed one cycle of treatment with rituximab and bendamustine for chronic lymphocytic leukemia. In the emergency department, treatment with intravenous acyclovir was started for a clinical diagnosis of herpes labialis. With therapy, the facial edema resolved; the blistered lesions developed an eschar (Panel B) that resolved within 2 weeks. Two days after she started treatment with acyclovir, isolated paralysis of the right side of the face developed, as manifested by the inability ...

  • 出版日期2014-3-13