Pathology · single question
Bell's palsy-like presentation WITH ipsilateral vesicular rash in the ear. Which virus?
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Correct answer: D. VZV (HHV-3)
RAMSAY HUNT SYNDROME (herpes zoster oticus): VZV (HHV-3) reactivation in geniculate ganglion of facial nerve → ipsilateral facial nerve palsy + vesicular rash in ear canal/auricle. More severe than idiopathic Bell's palsy. Treatment: acyclovir + corticosteroids.