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Toronto MP Olivia Chow says shea€™s recovering and feeling well after being diagnosed with a virus that affects the movement of one side of her face. Chow announced she was recovering from Ramsay Hunt syndrome in a Friday statement, saying she looks somewhat different these days but remains healthy and in fine shape to work.
Chowa€™s illness is Ramsay Hunt syndrome type 2, which is caused by the varicella zoster virus, which also causes shingles and chicken pox. In a news conference held Friday afternoon, Chow elaborated on her condition, saying shea€™s not in pain and is a€?extremely optimistica€? she will recover. She said she was treated with steroids and anti-viral drugs and was told she has a mild case of the syndrome.
Chow stressed that she remains committed to her Parliamentary work, and that her life wona€™t suffer greatly from the diagnosis.
Chow, who represents Torontoa€™s Trinity-Spadina riding, has been rumoured to be considering a run for the citya€™s mayor job. Trinity-Spadina MP Olivia Chow talks about Ramsay Hunt syndrome type 2 that afflicts the left side of her face, at her office in Toronto on Friday, Jan. A 24-year-old man, who recently received a diagnosis of HIV infection, presents to the emergency department (ED) with a 24-hour history of left ear pain. The patient denies fever or feeling faint and also denies any recent scratching or other trauma to the ear.

The rest of the physical exam, including his neurologic exam, is unremarkable except for an appendectomy scar, which is well-healed. The diagnosis is Ramsay Hunt syndrome, a herpes zoster reactivation that affects cranial nerve 7 often with additional involvement of cranial nerve 8, 9, 5, or 6. Ramsay Hunt SyndromeRamsay Hunt syndrome is a peripheral facial neuropathy that causes unilateral lower motor neuron pattern facial weakness. Text is available under the Creative Commons Attribution-ShareAlike License; additional terms may apply.
It infects a facial nerve near the inner ear, causing weakness, inflammation and sometimes pain. He saw his doctor the day before the ED visit and was told that everything looked okay and there was no suggestion of ear infection. He has not had a recent cold or flu that would lead to a middle ear infection and has not been swimming in over a month.
To prevent corneal damage from exposure, the eye should be taped shut at night and during the day if it does not close completely. After initial infection, varicella zoster virus lies dormant in various nerve cells in the body, where it is kept in check by the patient's immune system. It is often treated using anti-viral medication, with full recovery coming sometimes within a few weeks. An infectious disease specialist should be consulted along with an otolaryngologist if the patient has vertigo or hearing problems.

Given the opportunity, for example during an illness that suppresses the immune system, the virus is reactivated and travels to the end of the nerve cell, where it causes the symptoms described above.[citation needed]In RHS type 2, the affected ganglion is responsible for the movements of facial muscles, the touch sensation of a part of ear and ear canal, the taste function of the frontal two-thirds of the tongue, and the moisturization of the eyes and the mouth.
In more severe cases, some people never regain full control of the affected part of their face. He is otherwise healthy. In the ED, the patient is alert, calm, and cooperative, with an obviously red and swollen left ear.
It is caused by reactivation of a dormant varicella (human herpes virus 3) infection in the geniculate ganglion. The syndrome specifically refers to the combination of this entity with weakness of the muscles activated by the facial nerve.
In isolation the latter entity would be called Bell's Palsy.[citation needed]Like shingles, however, lack of lesions does not definitely exclude the existence of a herpes infection. The head and neck examination is remarkable for unilateral nystagmus on rightward gaze and subtle weakness of the left side of the face.
There is 1+ erythema and swelling of the entire left auricle with multiple areas of superficial vesicles (Figure).

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