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Risk factors
By Mayo Clinic staffAnyone who has had chickenpox can develop Ramsay Hunt syndrome. But, it's more common in older adults, typically affecting people older than 60. Ramsay Hunt syndrome is rare in children.
Ramsay Hunt syndrome isn't contagious. However, reactivation of the varicella-zoster virus can cause chickenpox in people you come in contact with if they haven't previously had chickenpox or been vaccinated for chickenpox. The infection can be serious for people with immune system deficiencies.
Until the rash blisters scab over, avoid physical contact with:
- Anyone who's never had chickenpox or vaccination for chickenpox
- Anyone who has a weak immune system
- Newborns
- Pregnant women
References
- Herpes zoster oticus information page. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/ramsay2/ramsay2.htm. Accessed Oct. 26, 2010.
- Davis LE. Varicella zoster virus deafness and vertigo. In: Flint PW, et al. Cummings Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-0-323-05283-2..00153-1--s0090&isbn=978-0-323-05283-2&sid=1074288621&type=bookPage§ionEid=4-u1.0-B978-0-323-05283-2..00153-1--s0180&uniqId=224115609-5#4-u1.0-B978-0-323-05283-2..00153-1--s0180. Accessed Oct. 26, 2010.
- Neilan RE, et al. Otalgia. Medical Clinics of North America. 2010;94:961.
- Fort GG. Ramsay Hunt syndrome. In: Ferri FF. Ferri's Clinical Advisor 2011. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/page.do?sid=1074741540&eid=4-u1.0-B978-0-323-05610-6..00027-5--sc0020&isbn=978-0-323-05610-6&type=bookPage§ionEid=4-u1.0-B978-0-323-05610-6..00027-5--sc0020&uniqId=224270956-3. Accessed Oct. 27, 2010.
- Harpaz R, et al. Prevention of herpes zoster: Recommendations of the advisory committee on immunization practices (ACIP). Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. 2008;57:RR-5.
- Guss J, et al. Infections of the external ear: Herpes zoster oticus. In: Flint PW, et al. Cummings Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-0-323-05283-2..00138-5--s0110&isbn=978-0-323-05283-2&sid=1074768459&type=bookPage§ionEid=4-u1.0-B978-0-323-05283-2..00138-5--s0110&uniqId=224270956-6#4-u1.0-B978-0-323-05283-2..00138-5--s0110. Accessed Oct. 27, 2010.
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