Signs of shingles

I have a burning pain in one ear like a burn and palpable blisters in the outer ear, facial paralysis, hearing loss… Is this a symptom of shingles and should I ask a doctor for advice on how to treat it? (Hung, 20 years old, Ha Nam)


Shingles is caused by the Herpes Zoster virus. The virus replicates and spreads along the nerve, then erupts in the skin that corresponds to the area of ​​that nerve, causing a red, blistering and painful rash. The disease can recur in people who have been infected or those who are immunocompromised.

Shingles is caused by the reactivation of Varicella Zoster virus in the knee ganglia of the 7th nerve, causing blistering, burning pain in the ear canal and outer ear canal. Inflammation can spread to other nerves such as the 5th nerve causing painful blisters on the half of the face, the 8th nerve leading to dizziness, hearing loss, tinnitus, or the 9th nerve causing changes in taste, possibly even causing pain. inflammation…

The manifestation of the disease is burning pain in the skin of the ear canal that appears before the blisters appear from a few hours to a few days. The vesicles at the auricle and outer ear canal are vesicular, pus-forming and superficial scabs, which peel off after 10-12 days. Many other cases can be ipsilateral facial paralysis due to damage to the 7th cord, taste changes due to damage to the 5th and 7th cords; dizziness, hearing loss, tinnitus,…

Some severe cases lead to meningitis, at this time the patient has a high fever of 39-40ºC, headache, vomiting, digestive disorders… Shingles in the ear if not detected and treated promptly can cause causing lifelong nerve pain, peripheral facial paralysis on one side, hearing loss, eye damage…

However, shingles ear is easily confused with other diseases because there are common signs such as mild fever, headache, body pain… Therefore, when there are signs of suspicion, you should go to the facilities soon. doctor to examine, assess the condition and prescribe appropriate medicine.

Everyone needs to stay healthy, maintain a healthy diet, practice sports to increase resistance, and avoid viruses from entering and causing disease.

Assoc.Prof.Dr Pham Thi Bich Dao
Department of Ear, Nose and Throat, Hanoi Medical University Hospital


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