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ANSWER 2
(4) PCR of ear swab for VZV
SALIENT POINTS:
Ramsay Hunt can present with severe ear pain and reduced hearing or deafness.
When vesicles are seen in the auditory canal or auricle, there are commonly abnormalities in cranial nerves VII, and sometimes VIII, IX or X.
The facial paralysis is more severe and less likely to resolve than the usual HSV related Bells Palsy.
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