GAO Xiu, ZHOU Kanghao, ZHANG Ning, LI Yunlong, KANG Lin, LIU Xiaohong, ZHAO Xiaoyi. A Case of Older Patient with Right Vocal Cord Paralysis Caused by Herpes Simplex Virus Infection Using Comprehensive Intervention by a Geriatric Interdisciplinary Team[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(5): 1146-1151. DOI: 10.12290/xhyxzz.2024-0325
Citation: GAO Xiu, ZHOU Kanghao, ZHANG Ning, LI Yunlong, KANG Lin, LIU Xiaohong, ZHAO Xiaoyi. A Case of Older Patient with Right Vocal Cord Paralysis Caused by Herpes Simplex Virus Infection Using Comprehensive Intervention by a Geriatric Interdisciplinary Team[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(5): 1146-1151. DOI: 10.12290/xhyxzz.2024-0325

A Case of Older Patient with Right Vocal Cord Paralysis Caused by Herpes Simplex Virus Infection Using Comprehensive Intervention by a Geriatric Interdisciplinary Team

Funds: 

National High Level Hospital Clinical Research Funding 2022-PUMCH-B-129

More Information
  • Corresponding author:

    ZHANG Ning, E-mail: zhangning_pumch@vip.sina.cn

  • Received Date: May 13, 2024
  • Accepted Date: July 29, 2024
  • Issue Publish Date: September 29, 2024
  • This article presents a case report of right vocal cord paralysis resulting from herpes simplex virus infection in an older adult. The patient initially presented with fever, blisters on the lips and right cheek, followed by the gradual onset of hoarseness and difficulty in swallowing. Laryngoscopy revealed fixation of the right vocal cord while the left vocal cord exhibited normal movement. A high level of herpes simplex virus type 1 IgM antibody was detected during the disease progression. Treatment involving mid-dose glucocorticoid and methylcobalamin neurotrophic therapy, swallowing and vocal rehabilitation training, as well as enteral nutrition support, led to alleviation of hoarseness and improved ability to drink water in small sips. Follow-up laryngoscopy indicated partial restoration of movement in the right vocal cord. The article not only outlines the diagnosis and treatment of this case but also reviews relevant literature to broaden clinicians' knowledge of viral-induced vocal cord paralysis in the elderly. It also emphasizes the importance of a geriatric interdisciplinary team in managing complex diseases in older patients.

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