High Prevalence of Varicella-Zoster Virus Reactivation in Herpes Simplex Virus-Seronegative Patients with Acute Peripheral Facial Palsy

Varicella-zoster virus (VZV) and herpes simplex virus (HSV) are considered to be the major causes of acute peripheral facial palsy (APFP). One hundred and forty-two patients with APFP were analyzed by serological assays and polymerase chain reaction analysis. Ramsay Hunt syndrome was diagnosed in 21...

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Veröffentlicht in:Clinical infectious diseases 2000-03, Vol.30 (3), p.529-533
Hauptverfasser: Furuta, Yasushi, Ohtani, Fumio, Kawabata, Hiroki, Fukuda, Satoshi, Bergström, Tomas
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container_issue 3
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container_title Clinical infectious diseases
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creator Furuta, Yasushi
Ohtani, Fumio
Kawabata, Hiroki
Fukuda, Satoshi
Bergström, Tomas
description Varicella-zoster virus (VZV) and herpes simplex virus (HSV) are considered to be the major causes of acute peripheral facial palsy (APFP). One hundred and forty-two patients with APFP were analyzed by serological assays and polymerase chain reaction analysis. Ramsay Hunt syndrome was diagnosed in 21 patients. Of the remaining 121 patients clinically diagnosed with Bell's palsy, VZV reactivation without zoster (zoster sine herpete) was detected in 35 patients (29%). The prevalence of antibodies to HSV among patients with Bell's palsy was significantly higher than the prevalence among those with VZV reactivation (Ramsay Hunt syndrome or zoster sine herpete). In contrast, a high incidence (88%) of VZV reactivation among HSV-seronegative patients with APFP was observed. Our data indicate that VZV is one of the major etiologic agents of clinically diagnosed Bell's palsy and that VZV reactivation causes APFP in most patients who lack antibodies to HSV.
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Ohtani, Fumio ; Kawabata, Hiroki ; Fukuda, Satoshi ; Bergström, Tomas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-25926391fd1d4fc075551de0ee254d9436392fd069b6a6450f027e5e644072303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>acute peripheral facial palsy</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Antibodies</topic><topic>Antibodies, Viral - blood</topic><topic>Antigens</topic><topic>Bell palsy</topic><topic>Bell Palsy - pathology</topic><topic>Bell Palsy - virology</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Clinical Articles</topic><topic>Facial paralysis</topic><topic>Facial Paralysis - pathology</topic><topic>Facial Paralysis - virology</topic><topic>Herpes Simplex - complications</topic><topic>Herpes Simplex - virology</topic><topic>Herpes simplex virus</topic><topic>Herpes zoster</topic><topic>Herpes Zoster - complications</topic><topic>Herpes Zoster - virology</topic><topic>Herpesvirus 3, Human - genetics</topic><topic>Herpesvirus 3, Human - physiology</topic><topic>Human herpesvirus 1</topic><topic>Human herpesvirus 2</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Peripheral Nervous System Diseases - pathology</topic><topic>Peripheral Nervous System Diseases - virology</topic><topic>Polymerase Chain Reaction</topic><topic>Prevalence</topic><topic>Simplexvirus</topic><topic>Simplexvirus - immunology</topic><topic>Varicella zoster encephalitis</topic><topic>Varicella-zoster virus</topic><topic>Viral diseases</topic><topic>Viral diseases of the nervous system</topic><topic>Virus Activation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Furuta, Yasushi</creatorcontrib><creatorcontrib>Ohtani, Fumio</creatorcontrib><creatorcontrib>Kawabata, Hiroki</creatorcontrib><creatorcontrib>Fukuda, Satoshi</creatorcontrib><creatorcontrib>Bergström, Tomas</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Furuta, Yasushi</au><au>Ohtani, Fumio</au><au>Kawabata, Hiroki</au><au>Fukuda, Satoshi</au><au>Bergström, Tomas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High Prevalence of Varicella-Zoster Virus Reactivation in Herpes Simplex Virus-Seronegative Patients with Acute Peripheral Facial Palsy</atitle><jtitle>Clinical infectious diseases</jtitle><stitle>Clinical Infectious Diseases</stitle><addtitle>Clinical Infectious Diseases</addtitle><date>2000-03-01</date><risdate>2000</risdate><volume>30</volume><issue>3</issue><spage>529</spage><epage>533</epage><pages>529-533</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><coden>CIDIEL</coden><abstract>Varicella-zoster virus (VZV) and herpes simplex virus (HSV) are considered to be the major causes of acute peripheral facial palsy (APFP). One hundred and forty-two patients with APFP were analyzed by serological assays and polymerase chain reaction analysis. Ramsay Hunt syndrome was diagnosed in 21 patients. Of the remaining 121 patients clinically diagnosed with Bell's palsy, VZV reactivation without zoster (zoster sine herpete) was detected in 35 patients (29%). The prevalence of antibodies to HSV among patients with Bell's palsy was significantly higher than the prevalence among those with VZV reactivation (Ramsay Hunt syndrome or zoster sine herpete). In contrast, a high incidence (88%) of VZV reactivation among HSV-seronegative patients with APFP was observed. Our data indicate that VZV is one of the major etiologic agents of clinically diagnosed Bell's palsy and that VZV reactivation causes APFP in most patients who lack antibodies to HSV.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>10722439</pmid><doi>10.1086/313721</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects acute peripheral facial palsy
Adolescent
Adult
Age Distribution
Aged
Antibodies
Antibodies, Viral - blood
Antigens
Bell palsy
Bell Palsy - pathology
Bell Palsy - virology
Biological and medical sciences
Child
Child, Preschool
Clinical Articles
Facial paralysis
Facial Paralysis - pathology
Facial Paralysis - virology
Herpes Simplex - complications
Herpes Simplex - virology
Herpes simplex virus
Herpes zoster
Herpes Zoster - complications
Herpes Zoster - virology
Herpesvirus 3, Human - genetics
Herpesvirus 3, Human - physiology
Human herpesvirus 1
Human herpesvirus 2
Human viral diseases
Humans
Infectious diseases
Medical sciences
Middle Aged
Peripheral Nervous System Diseases - pathology
Peripheral Nervous System Diseases - virology
Polymerase Chain Reaction
Prevalence
Simplexvirus
Simplexvirus - immunology
Varicella zoster encephalitis
Varicella-zoster virus
Viral diseases
Viral diseases of the nervous system
Virus Activation
title High Prevalence of Varicella-Zoster Virus Reactivation in Herpes Simplex Virus-Seronegative Patients with Acute Peripheral Facial Palsy
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