<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282020000400371</article-id>
<article-id pub-id-type="doi">10.29315/gm.v7i4.374</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Síndrome de Ramsay Hunt: Um Caso Raro de Otalgia]]></article-title>
<article-title xml:lang="en"><![CDATA[Ramsay Hunt Syndrome: A Rare Case of Otalgia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duarte]]></surname>
<given-names><![CDATA[Leonor Luz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rebelo]]></surname>
<given-names><![CDATA[Catarina Calheno]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Maria Inês]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Nuno]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ACeS Matosinhos USF Oceanos ]]></institution>
<addr-line><![CDATA[Matosinhos ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidade Local de Saúde de Matosinhos Hospital Pedro Hispano Serviço de Otorrinolaringologia]]></institution>
<addr-line><![CDATA[Matosinhos ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>7</volume>
<numero>4</numero>
<fpage>371</fpage>
<lpage>376</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282020000400371&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282020000400371&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282020000400371&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A síndrome de Ramsay Hunt é uma causa incomum de otalgia, caracterizada por uma tríade de otalgia, paralisia facial periférica ipsilateral e rash vesicular no ouvido externo ou orofaringe, causada pela reativação do vírus Varicella-Zoster. Descreve-se o caso de um homem de 21 anos que recorre aos Cuidados de Saúde Primários por otalgia como &#8220;picadas&#8221; à direita, com uma semana de evolução, diagnosticado com otite externa e medicado com antibioterapia tópica. Posteriormente desenvolve paralisia facial periférica direita, mantendo a otalgia e é diagnosticado com síndrome de Ramsay Hunt. Esta síndrome é uma condição médica emergente e potencialmente grave, que requer uma abordagem e tratamento precoces. O seu diagnóstico é clínico e o seu tratamento inclui fármacos antivíricos e corticosteroides. Este é muitas vezes protelado, estando associado a pior prognóstico e a possíveis complicações, como a nevralgia pós-herpética, úlceras da córnea de exposição e sequelas neurológicas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Ramsay Hunt syndrome is an uncommon cause of otalgia and is described as a triad of otalgia, ipsilateral peripheral facial paralysis and vesicular rash in the external ear or oropharynx, caused by the reactivation of the Varicella-Zoster Virus. We report the case of a 21-year-old man who attended a consultation with his family doctor with a one-week history of right sided otalgia, being diagnosed with otitis externa and treated with topical antibiotics. Two days later, he developed right peripheral facial paralysis, and was diagnosed with Ramsay Hunt Syndrome. This syndrome is an emerging and potentially serious medical condition that requires an early approach and treatment. Its diagnosis is clinical and its treatment includes antiviral drugs and corticosteroids. The treatment is often postponed, associated with a worse prognosis and possible complications, such as post-herpetic neuralgia, corneal exposure ulcers and neurological sequelae.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Dor de Ouvido/etiologia]]></kwd>
<kwd lng="pt"><![CDATA[Herpes Zóster do Ouvido Externo]]></kwd>
<kwd lng="en"><![CDATA[Earache/etiology]]></kwd>
<kwd lng="en"><![CDATA[Herpes Zoster Oticus]]></kwd>
</kwd-group>
</article-meta>
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